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NPI Code Detail

MEDICARE: DR. ELIZABETH SHELY MD

MEDICARE: DR. ELIZABETH SHELY MD
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
1208000000XPediatrics Physician35.050479OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477581809
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH SHELY MD
Provider Business Mailing Address
First Line : 4685 FOREST AVE STE C
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-3359
Country : US
Telephone Number : 513-246-7000
Fax Number :
Provider Business Practice Location Address
First Line : 2001 ANDERSON FERRY RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-3325
Country : US
Telephone Number : 513-246-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 06/30/2015

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Directions to “ DR. ELIZABETH SHELY MD” Practice Location

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