Jason T Shumadine MD

NPI 1609079151 - Radiology - 2085R0001X

NPI Details
NPI 1609079151
Gender Male
Enumeration Date 06/11/2007
Last Updated 08/15/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
120 RUE LOUIS XIV
LAFAYETTE LA, 70508-5739, US
Phone (337) 769-7779
Fax (337) 769-7788
Business Location
100 BELLE GROVE BLVD
LAFAYETTE LA, 70503-6616, US
Phone (727) 252-4238
Fax
Toxanomy
Taxonomy Code 2085R0001X
License State Florida
License Number ME103163
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According to our database, Dr. Jason T Shumadine MD NPI is 1609079151, taxonomy code is 2085R0001X and license number is ME103163, license state is located at Florida. Jason T Shumadine MD physically located at 120 Rue Louis Xiv, Lafayette LA, 70508-5739. NPI Number Jason T Shumadine MD has the Individual type.

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1609079151 NPI number is provided on an as is basis without warranty of any kind. 1609079151 is maintained by the National Plan & Provider Enumeration System. The contents of Jason T Shumadine MD are for informational purposes only.