Individual
KSHAMA M DAPHTARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9500 EUCLID AVE # M14, CLEVELAND, OH 44195-0001
(216) 445-2748
Mailing address
9500 EUCLID AVE # M14, CLEVELAND, OH 44195-0001
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
35.097764
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502560
—
NV
05
—
101469970
—
PA
05
—
200257650
—
KS
05
—
8384695
—
WA
05
—
922840
—
AZ
05
—
XPY201557
—
CA
Enumeration date
07/12/2006
Last updated
11/15/2021
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