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NPI Code Detail

MEDICARE: BSHARA & ASSOCIATES INC

MEDICARE: BSHARA & ASSOCIATES INC
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
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1134627896
Entity Type Code : Organization
Provider Name (Legal Business Name) : BSHARA & ASSOCIATES INC
Provider Business Mailing Address
First Line : 7550 LUCERNE DR. STE 405
Second Line :
City : MIDDLEBURG HTS
State : OH
Zip : 44130-6503
Country : US
Telephone Number : 440-234-8833
Fax Number : 440-234-3313
Provider Business Practice Location Address
First Line : 3665 W 117TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-5215
Country : US
Telephone Number : 216-351-0778
Fax Number : 216-251-5963
Authorized Official
Title or Position : OWNER
Name : IBRAHIM BSHARA
Credential : MD
Telephone Number : 216-351-0778
Provider Enumeration Date : 01/29/2018
Last Update Date : 06/28/2019

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