National Provider Identifier Database

JACK SHAMOUN
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

JACK SHAMOUN
CRHP-711 TROY-SCHENECTADY ROAD
SUITE 114
LATHAM, NY12110
Phone: 518-786-1600
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Nuclear Medicine 207U00000X

* Indicates primary specialty

NPI Profile & details for JACK SHAMOUN

NPI Number 1508940354
Credentials
Entity Individual
Enumeration date 10/25/2006
Last updated 12/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 107225
  • NY Medicaid: 00369466
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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