Individual
DR. TED F SHAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 ARCH ST STE 206, AKRON, OH 44304-1431
(330) 374-0009
(330) 374-5693
Mailing address
75 ARCH ST STE 206, AKRON, OH 44304-1431
(330) 374-0009
(330) 374-5693
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35050617S
OH
207RI0011X
Interventional Cardiology Physician
Primary
35050617S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0626812
MEDICARE ID
OH
01
—
0626816
MEDICARE ID
OH
05
—
0651852
—
OH
Enumeration date
06/20/2005
Last updated
12/06/2012
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