Id Consultants of Northeast Ohio, INC

NPI #1255913117 in Beachwood, Ohio

Provider Information

NPI Number
1255913117
Entity Type
Organization
Organization Name
Id Consultants of Northeast Ohio, INC
Primary Specialty
Internal Medicine - Infectious Disease
Enumeration Date
Apr 21, 2021
Last Updated
Apr 21, 2021

Practice Location

Address
3609 PARK EAST DR STE 207
State
Ohio
ZIP Code
44122-4309
Phone
(216) 360-0456

Authorized Official

Name
VIMALA SHAKAR
Title
ADMIN
Phone
(216) 702-6600

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Infectious DiseaseInfectious Disease

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