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General NPI Number Information
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NPI Number | 1316367931
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Entity Type | Individual
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Provider Name | SHAAKIR HASAN DO
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Gender | Male
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Dates
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Enumeration Date | 04/22/2014
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 330 GLESSNER AVE
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City | MANSFIELD
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State | OH
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Zip | 44903-2226
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Country | US
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Telephone | 419-526-8622
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7527
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City | DUBLIN
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State | OH
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Zip | 43017-0727
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Country | US
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Telephone | 614-788-6010
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 297987-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 34.017650
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License Number State | OH
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