Individual
DR. JILL KATHRYN LYON SHIVAPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
240046
MA
2080P0202X
Pediatric Cardiology Physician
Primary
35-121869
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088060
—
OH
Enumeration date
05/21/2007
Last updated
09/26/2013
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