Individual
ROBERT R SHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7874
Mailing address
3605 WARRENSVILLE CENTER RD, SHAKER HEIGHTS, OH 44122-5203
(216) 286-6295
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35-043837
OH
2086X0206X
Surgical Oncology Physician
Primary
35043837
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221033
UNISON
OH
01
—
000000503724
ANTHEM
—
05
—
0416580
—
OH
01
—
364005
WELLCARE
OH
01
—
4037741
AETNA
—
01
—
738098
BUCKEYE
OH
01
—
P00120695
RAILROAD MEDICARE
OH
01
—
P00364295
RAILROAD MEDICARE
OH
Enumeration date
07/19/2006
Last updated
01/13/2021
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