Individual provider · Type 1 NPI

Diane Iragena Shumbusho, MD

Obstetrics & Gynecology Physician · Watertown, NY

NPI number 1457708802 Active

Practice location

1575 Washington St
Watertown, NY 13601-9371

Call (315) 785-4155 Map

Fax (315) 779-5066

Other practice locations

  • 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 · (315) 779-5385

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician 207V00000X0101264178 (VA)
Obstetrics & Gynecology Physician Primary 207V00000X328335 (NY)

Obstetrics & Gynecology Physician: 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.

47 other providers at this address

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About NPI 1457708802

Diane Iragena Shumbusho, MD's National Provider Identifier is 1457708802, issued on May 16, 2016. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Watertown, NY. The record was last updated on Apr 17, 2024.