Wisa, Shoukri Mina

Wisa, Shoukri Mina is an individual health care provider with primary practice located at 164 Washington Ave , Batavia NY 14020-2113. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Wisa, Shoukri Mina can be contacted via phone (585) 343-6363.

Contact Information

Primary practice address
164 Washington Ave Batavia NY 14020-2113
Phone: (585) 343-6363
Fax: (585) 343-1986
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1705271 New York
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 170527 New York

Profile Details

NPI number 1306895370
LBN Legal business name Wisa, Shoukri Mina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Apr 28th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306895370 NPPES
New York MEDICAID 01127086

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