Provider Demographics
NPI:1164439949
Name:SHAHEEN, WILLIAM (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:SHAHEEN
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 1:3800 EMBASSY PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-8389
Mailing Address - Country:US
Mailing Address - Phone:330-869-0124
Mailing Address - Fax:330-869-2852
Practice Address - Street 1:3800 EMBASSY PKWY STE 100
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333-8389
Practice Address - Country:US
Practice Address - Phone:330-869-0124
Practice Address - Fax:330-869-2852
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35088782207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000510908OtherBCBS
OH2734027Medicaid
OH341296621OtherTRICARE
OH341296621FOtherAULTCARE
OH341296621OtherCHAMPUS
OH8470384OtherCIGNA
OH341296621OtherCARESOURCE
OH750960OtherBUCKEYE MEDICAID
OH7696930OtherAETNA
OHP00420978OtherMEDICARE RAILROAD
OH341296621OtherCARESOURCE
OHSH4210761Medicare PIN