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NPI Code Detail

MEDICARE: JOHN SHABOSKY

MEDICARE:   JOHN  SHABOSKY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0202XPediatric Cardiology Physician35.150638OH
2207RA0002XAdult Congenital Heart Disease Physician35.150638OH

General Provider Information

NPI Number : 1225561475
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN SHABOSKY
Provider Business Mailing Address
First Line : 3333 BURNET AVE # MLC2003
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-3026
Country : US
Telephone Number : 513-803-4574
Fax Number : 513-803-4493
Provider Business Practice Location Address
First Line : 3333 BURNET AVE # MLC2003
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-3026
Country : US
Telephone Number : 513-803-4574
Fax Number : 513-803-4493
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2017
Last Update Date : 04/21/2026

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Directions to “ JOHN SHABOSKY ” Practice Location

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