Individual
DR. JONATHAN M SHABAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-2527
(216) 444-2200
Mailing address
446 ANCHORS WEIGH, AVON LAKE, OH 44012-2933
(440) 822-1074
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.148910
OH
Other
Enumeration date
04/07/2020
Last updated
02/20/2024
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