Individual
IBRAHIM BSHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3665 W 117TH ST, CLEVELAND, OH 44111-5215
(216) 351-0778
(216) 251-5963
Mailing address
20525 CENTER RIDGE RD, SUITE 220, ROCKY RIVER, OH 44116
(440) 895-5056
(440) 333-2935
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35063037B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000031825
ANTHEM
OH
01
—
0119204
GROUP MEDICAID
—
05
—
0874362
—
OH
01
—
10789186
CAQH
—
01
—
109285
KAISER
—
01
—
110099557
RR MEDICARE INDIVIDUAL
—
01
—
1780634279
GROUP NPI
—
01
—
3610861
GROUP ASC MEDICARE
—
01
—
9273172
GROUP MEDICARE
—
01
—
CA4511
GROUP RR MEDICARE
—
01
—
D368301
GROUP IND DIAGNOSTICS MED
—
Enumeration date
02/23/2006
Last updated
09/29/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us