Individual
JALAL M ABU-SHAWEESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-7700
(216) 286-6341
Mailing address
3605 WARRENSVILLE CTR RD, 1ST FL MSC 9152, SHAKER HTS, OH 44122
(216) 286-6299
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35-069777
OH
207LP3000X
Pediatric Anesthesiology Physician
35-069777
OH
208000000X
Pediatrics Physician
35069777
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35069777
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221382
UNISON
OH
01
—
000000525865
ANTHEM
OH
05
—
0237578
—
OH
01
—
1010858470001
PA MEDICAID
PA
01
—
2140105
BCMH
OH
05
—
2140105
—
OH
01
—
2146054
AETNA
OH
01
—
363295
WELLCARE
OH
01
—
735607
BUCKEYE
OH
01
—
P00411224
RAILROAD MEDICARE
OH
Enumeration date
10/17/2005
Last updated
06/12/2009
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