Individual
SHREELATA R DURBHAKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
(216) 286-6341
Mailing address
3605 WARRENSVILLE CENTER RD, 1ST FL, MSC9152, SHAKER HEIGHTS, OH 44122-5203
(216) 286-6299
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-086395
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221390
UNISON
OH
01
—
000000368504
ANTHEM
OH
01
—
000000525905
ANTHEM
OH
01
—
2546489
AETNA
OH
05
—
2567851
—
OH
Enumeration date
07/16/2006
Last updated
11/15/2007
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