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Organization

ID CONSULTANTS OF NORTHEAST OHIO, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIMALA SHAKAR (ADMIN)
(216) 702-6600
Entity
Organization

Contact information

Practice address
3609 PARK EAST DR STE 207, BEACHWOOD, OH 44122-4309
(216) 360-0456
(216) 360-9449
Mailing address
3609 PARK EAST DR STE 207, BEACHWOOD, OH 44122-4309
(216) 360-9480
(216) 360-9449

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary

Other

Enumeration date
04/21/2021
Last updated
04/21/2021
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