MEDICARE: DR. EPHRON ZION SHOHAT MD

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
1	207RC0000X	Cardiovascular Disease Physician	237169	NY

General Provider Information

NPI Number	:	1437343282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EPHRON ZION SHOHAT MD

Provider Business Mailing Address
First Line	:	1763 E 12TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1013
Country	:	US
Telephone Number	:	718-419-8084
Fax Number	:	718-559-6299

Provider Business Practice Location Address
First Line	:	1763 E 12TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1013
Country	:	US
Telephone Number	:	718-419-8084
Fax Number	:	718-559-6299

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2007
Last Update Date	:	09/19/2019

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