Individual
DR. KEVIN SHAHBAHRAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE # J4-133, CLEVELAND, OH 44195-0001
(908) 601-2296
Mailing address
9500 EUCLID AVE # J4-133, CLEVELAND, OH 44195-0001
(908) 601-2296
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35.144097
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117491883
NPI
NJ
Enumeration date
03/31/2015
Last updated
03/07/2023
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