Provider Demographics
NPI:1437343282
Name:SHOHAT, EPHRON ZION (MD)
Entity Type:Individual
Prefix:DR
First Name:EPHRON
Middle Name:ZION
Last Name:SHOHAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1763 E 12TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1013
Mailing Address - Country:US
Mailing Address - Phone:718-419-8084
Mailing Address - Fax:718-559-6299
Practice Address - Street 1:1763 E 12TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1013
Practice Address - Country:US
Practice Address - Phone:718-419-8084
Practice Address - Fax:718-559-6299
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY237169207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease