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NPI Code Detail

MEDICARE: LUAY ALSHARA MD

MEDICARE:   LUAY  ALSHARA  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
1208600000XSurgery Physician35.131969OH
2390200000XStudent in an Organized Health Care Education/Training Program
3208800000XUrology Physician35.131969OH

General Provider Information

NPI Number : 1902226863
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUAY ALSHARA MD
Provider Business Mailing Address
First Line : 1611 NW 12TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33136-1005
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE # Q10-1
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-1005
Country : US
Telephone Number : 216-445-8678
Fax Number : 216-636-0770
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2014
Last Update Date : 12/24/2018

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Directions to “ LUAY ALSHARA MD” Practice Location

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