National Provider Identifier
Shoukri Mina Wisa, MD
Shoukri Mina Wisa, MD is listed in the NPPES registry with a primary specialty of Hematology & Oncology Physician in Batavia, NY and a listed phone number of (585) 343-6363.
Profile Overview
- NPI
- 1306895370
- Provider Type
- Individual
- Primary Specialty
- Hematology & Oncology Physician
- Enumeration Date
- May 08, 2006
- Last Updated
- April 28, 2021
Practice Location
- 164 Washington Ave
- Batavia, NY 14020-2113
Phone: (585) 343-6363
Specialties
- Hematology & Oncology Physician (207RH0003X)
- Internal Medicine Physician (207R00000X)
Endpoints
- swisa301269@direct.rochesterregional.org
Direct Messaging Address | Rochester, NY 14626
Full Record
- NPI
- 1306895370
- Entity Type
- Individual
- Last Name
- Wisa
- First Name
- Shoukri
- Middle Name
- Mina
- Credential
- MD
- Mailing Street Address
- 164 Washington Ave
- Mailing City
- Batavia
- Mailing State
- NY
- Mailing ZIP Code
- 14020-2113
- Mailing Country
- US
- Mailing Phone
- (585) 343-6363
- Mailing Fax
- (585) 343-1986
- Practice Street Address
- 164 Washington Ave
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-2113
- Practice Country
- US
- Practice Phone
- (585) 343-6363
- Practice Fax
- (585) 343-1986
- Enumeration Date
- May 08, 2006
- Last Updated
- April 28, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 28, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Hematology & Oncology Physician (207RH0003X), Internal Medicine Physician (207R00000X)
- Other Identifiers
- 01127086 (NY)