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.
Source: public NPPES record, last updated April 28, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
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
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Biography
Dr. Shoukri Wisa is a hematology and oncology physician practicing in Batavia through Rochester Regional Health’s Lipson Cancer Institute at United Memorial Medical Center. His published training history includes an internal medicine residency and a hematology/medical oncology fellowship at Brookdale University Hospital and Medical Center, and public physician records list him as board certified in internal medicine. AMA physician data also reflects practice experience in other upstate New York communities, including Canton and Ogdensburg.
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)