Individual
DR. SHANTA NAIR KAMPANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
33649 FAIRMOUNT BLVD, CLEVELAND, OH 44124-4851
(440) 449-2146
Mailing address
33649 FAIRMOUNT BLVD, CLEVELAND, OH 44124-4851
(440) 449-2146
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.034157
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02-11354
—
OH
Enumeration date
09/02/2006
Last updated
06/18/2012
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