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Individual

MOHAMED M SHAHED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19050 LORAIN RD, FAIRVIEW PARK, OH 44126-1915
(216) 252-8000
(216) 252-8117
Mailing address
19050 LORAIN RD, FAIRVIEW PARK, OH 44126-1915
(216) 252-8000
(216) 252-8117

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35081431S
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0119204
GROUP MEDICAID
01
104899
KAISER
01
11212974
CCAQH
01
1780634279
GROUP NPI
05
1952896250
OH
05
2341960
OH
01
3610861
GROUP ASC MEDICARE
01
9273172
GROUP MEDICARE
01
CA4511
RR MEDICARE GROUP
01
D368301
GROUP IND DIAGNOSTICS MED
01
P00266500
RR MEDICARE INDIVIDUAL
Enumeration date
03/03/2006
Last updated
04/22/2024
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