Individual
DR. MEHDI H SHISHEHBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
125 E BROAD ST, SUITE 305, ELYRIA, OH 44035-6400
(440) 326-4120
(440) 322-3454
Mailing address
1220 MOORE RD, SUITE B, AVON, OH 44011-4044
(440) 930-4444
(440) 934-0682
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34008007
OH
207RC0000X
Cardiovascular Disease Physician
Primary
34008007
OH
207RI0011X
Interventional Cardiology Physician
34008007
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2726410
—
OH
Enumeration date
04/26/2007
Last updated
12/30/2020
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