Individual
KIVA SHTULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7601 FIRST PL STE 7A, OAKWOOD VILLAGE, OH 44146-6702
(440) 799-3741
Mailing address
4450 SAINT CLAIR AVE, CLEVELAND, OH 44103-1126
(216) 431-0927
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
051031
OH
Other
Enumeration date
11/14/2014
Last updated
02/11/2016
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