Organization
ID CONSULTANTS OF NORTHEAST OHIO, INC
Active
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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