| Dr Shaju Shamsuddin, MD | |
|
667 Eastland Ave Se, Warren, OH 44484-4503 | |
| (330) 841-4126 | |
| (330) 841-4598 |
| Full Name | Dr Shaju Shamsuddin |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 36 Years |
| Location | 667 Eastland Ave Se, Warren, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982696878 | NPI | - | NPPES |
| 101275823 | Medicaid | PA | |
| H440680 | Other | OH | MEDICARE PTAN |
| 2075301 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | MD062322L (Pennsylvania) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 35.069956 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Meritus Medical Center | Hagerstown, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Neo Urology Associates Inc | 8628088036 | 16 |
| Gagnon Oncology Llc | 5496913030 | 4 |
| Meritus Medical Center Inc | 7113811795 | 563 |
| Entity Name | Neo Urology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598798878 PECOS PAC ID: 8628088036 Enrollment ID: O20060501000243 |
| Entity Name | Mercy Health Physicians Youngstown, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154636066 PECOS PAC ID: 9234318270 Enrollment ID: O20110124000753 |
| Entity Name | Triad Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588925457 PECOS PAC ID: 9032367917 Enrollment ID: O20120918000787 |
| Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shaju Shamsuddin, MD 667 Eastland Ave Se, Warren, OH 44484-4503 Ph: (330) 841-4126 | Dr Shaju Shamsuddin, MD 667 Eastland Ave Se, Warren, OH 44484-4503 Ph: (330) 841-4126 |
Dr. Sriram Mannava, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311 | |
Dr. Murray H Weissmann, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311 | |
Tejas Pulisetty, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311 | |
Carol Congeni, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311 | |
Dr. Kevin Daniel Kelley, M.D., PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1353 E Market St, Warren, OH 44483 Phone: 330-841-9399 | |
Mercedes E Ramas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311 | |
Sami Sid Ahmed Elsayed, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1932 Niles Cortland Rd Ne Ste X, Warren, OH 44484 Phone: 330-306-5371 Fax: 330-306-5311 |