Individual
LYUDMILA SHTOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10701 EAST BLVD, VAMC, WADE PARK, PRIMARY CARE CLINIC, CLEVELAND, OH 44106
(216) 791-3800
(216) 229-2327
Mailing address
VAMC, WADE PARK, PRIMARY CARE CLINIC, 10701 EAST BLVD, CLEVELAND, OH 44106
(216) 791-3800
(216) 229-2327
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-096612
OH
207R00000X
Internal Medicine Physician
LP00862
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3114507
—
OH
Enumeration date
04/18/2007
Last updated
12/30/2021
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