Healthcare Provider Details

I. General information

NPI: 1831486711
Provider Name (Legal Business Name): DALIA SHIBEIKA M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2011
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18697 BAGLEY RD
MIDDLEBURG HEIGHTS OH
44130-3417
US

IV. Provider business mailing address

6569 THORNTREE DR
BRECKSVILLE OH
44141-1769
US

V. Phone/Fax

Practice location:
  • Phone: 440-816-8000
  • Fax:
Mailing address:
  • Phone: 571-319-1620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number35.130736
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.130736
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: