Individual
DR. USHA SHANKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19250 BAGLEY RD, CLEVELAND, OH 44130-3314
(440) 826-3240
Mailing address
19250 BAGLEY RD, #101, CLEVELAND, OH 44130-3314
(440) 891-8800
(440) 891-1734
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-037849
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000121447
ANTHEM BCBS
OH
01
—
050056450
RAILROAD MEDICARE
OH
05
—
0607980
—
OH
01
—
311533239030
CARESOURCE
OH
Enumeration date
08/23/2005
Last updated
04/02/2008
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