MEDICARE: DR. RAJA SHEKAR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	35047348	OH

General Provider Information

NPI Number	:	1063442846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJA SHEKAR M.D.

Provider Business Mailing Address
First Line	:	3609 PARK EAST DR
Second Line	:	207
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-4331
Country	:	US
Telephone Number	:	216-360-0456
Fax Number	:	216-360-9449

Provider Business Practice Location Address
First Line	:	3609 PARK EAST DR
Second Line	:	207
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-4331
Country	:	US
Telephone Number	:	216-360-0456
Fax Number	:	216-360-9449

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	05/24/2021

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