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NPI Code Detail

MEDICARE: SHAFFINA HEALTH LLC

MEDICARE: SHAFFINA HEALTH LLC
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
1207Q00000XFamily Medicine Physician
2367A00000XAdvanced Practice Midwife

General Provider Information

NPI Number : 1326937699
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHAFFINA HEALTH LLC
Provider Business Mailing Address
First Line : 3831 W 133RD ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-4412
Country : US
Telephone Number : 216-673-6598
Fax Number :
Provider Business Practice Location Address
First Line : 3831 W 133RD ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-4412
Country : US
Telephone Number : 216-673-6598
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MAQSOODA CHANDANI BRYANT
Credential : CNM
Telephone Number : 216-673-6598
Provider Enumeration Date : 07/01/2025
Last Update Date : 07/01/2025

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Directions to “SHAFFINA HEALTH LLC ” Practice Location

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