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Organization

AHMAD H. SHATILA, M.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AHMAD H. SHATILA M.D. (PHYSICIAN-OWNER)
(440) 234-9338
Entity
Organization

Contact information

Practice address
18660 BAGLEY RD, STE. 305 BUILDING 2, MIDDLEBURG HEIGHTS, OH 44130-3483
(440) 234-9338
(440) 234-1448
Mailing address
18660 BAGLEY RD, STE. 305 BUILDING 2, MIDDLEBURG HEIGHTS, OH 44130-3483
(440) 234-9338
(440) 234-1448

Taxonomy

Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
35039162S
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1568562031
NPI
OH
Enumeration date
04/17/2007
Last updated
08/22/2020
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