Organization
CLEVELAND BREAST CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD H. SHATILA M.D. (PHYSICIAN OWNER)
(440) 234-9338
Entity
Organization
Contact information
Practice address
18660 BAGLEY RD, STE. 305 BLDG. 2, CLEVELAND, OH 44130-3483
(440) 234-9338
(440) 234-1448
Mailing address
18660 BAGLEY RD, STE. 305 BLDG. 2, CLEVELAND, OH 44130-3483
(440) 234-9338
(440) 234-1448
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000006129197
BLUE CROSS
OH
01
—
1500454
UMWA
OH
Enumeration date
04/24/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us