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NPI Code Detail

MEDICARE: MARIA ELENA SHAKER M.D.

MEDICARE: MARIA ELENA SHAKER 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
1207V00000XObstetrics & Gynecology Physician35.123735OH

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 : 1922325372
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA ELENA SHAKER M.D.
Provider Business Mailing Address
First Line : 24701 EUCLID AVE
Second Line : 3RD FLOOR
City : EUCLID
State : OH
Zip : 44117-1714
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5805 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-3715
Country : US
Telephone Number : 216-844-3971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2010
Last Update Date : 12/31/2020

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