Individual
CAROL S SHAMAKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13207 RAVENNA RD, CHARDON, OH 44024-7032
(440) 285-6000
(216) 844-5922
Mailing address
24701 EUCLID AVE, 3RD FLOOR - BILLING SERVICES, EUCLID, OH 44117-1714
(440) 285-6000
(216) 844-5922
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
069269
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017815850005
—
PA
05
—
2094095
—
OH
01
—
P00668465
RAILROAD MEDICARE
OH
Enumeration date
06/04/2006
Last updated
12/29/2011
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