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Individual

SUDHEER R SHIRALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4900 FRANK RD NW, NORTH CANTON, OH 44720
(330) 494-9797
(330) 499-1241
Mailing address
PO BOX 80690, CANTON, OH 44708
(330) 833-5530
(330) 833-6085

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35035193
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0198727
OH
Enumeration date
08/21/2006
Last updated
10/06/2011
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