Shaban Shoshi MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35073795S Issued in OH

Legal business name

SHABAN SHOSHI MD INC

Practice address

4100 Johnson Road
Suite 200
Steubenville, OH 43952

Phone

(740) 266-8004

Fax

(740) 266-8005

NPI assigned

Oct 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shaban A Shoshi, MD

Title

Physician

Phone

(740) 266-8004

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1912083361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 JOHNSON ROAD",
            "address_2": "SUITE 200",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "43952",
            "telephone_number": "740-266-8004",
            "fax_number": "740-266-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 JOHNSON ROAD",
            "address_2": "SUITE 200",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "43952",
            "telephone_number": "740-266-8004",
            "fax_number": "740-266-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHABAN SHOSHI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-28",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "SHOSHI",
        "authorized_official_first_name": "SHABAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "740-266-8004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35073795S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2054717",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baldev S Sekhon, MD
• Tony P. Sellitti, MD
• Jennifer Jae Serafini, LPN
• Lori Jo Sestito, R.N.
• Maria Natasha Setlak, DO
• Shaffer Plaza a
• Shaffer Plaza B
• Shaffer Plaza C
• Neema Shah, DO
• Joshua Robert Shane

• Internal Medicine Physician in Steubenville, OH
• Providers in Steubenville, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.