Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | MD.3812 | AL |
NPI | 1124257837 |
---|---|
Provider Name | Dr. Sheldon R. Kushner |
First Address | Greenville, AL 36037-2025 |
Second Address | Greenville, AL 36037-2025 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2009 |
Last Update Date | 02/07/2009 |