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DR. DIANE IRAGENA SHUMBUSHO MD NPI 1457708802


NPI Information

NPI: 1457708802
Provider Name: DR. DIANE IRAGENA SHUMBUSHO, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
1575 WASHINGTON ST
WATERTOWN, NY
ZIP 13601
Phone: (315) 785-4155
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DR. Diane Iragena Shumbusho, MD is an obstetrics gynecology in Watertown, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Diane Iragena Shumbusho, MD NPI is 1457708802. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1575 WASHINGTON ST
WATERTOWN, NY
ZIP 13601-371
Phone: (315) 785-4155
Fax: (315) 779-5066

The enumeration date for this NPI number is 5/16/2016 and was last updated on 4/17/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology0101264178VIRGINIANo
2207V00000XObstetrics & Gynecology328335NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.