Individual
SHAHRAM AMINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1000
(216) 844-3014
Mailing address
905 MAPLE ST, REDWOOD CITY, CA 94063-2057
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
C152681
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000229159
UNISON
OH
01
—
000000527961
ANTHEM
OH
05
—
1021976050001
—
PA
05
—
2763353
—
OH
01
—
414940
WELLCARE MEDICAID
OH
01
—
753033
BUCKEYE MEDICAID
OH
01
—
9698055
AETNA
OH
Enumeration date
05/08/2007
Last updated
12/22/2021
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