| Id Consultants Of Northeast Ohio, Inc | |
|
3609 Park East Dr Ste 207 Beachwood OH 44122-4309 | |
| (216) 360-0456 | |
| (216) 360-9449 |
| Full Name | Id Consultants Of Northeast Ohio, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3609 Park East Dr Ste 207, Beachwood, Ohio |
| Authorized Official Name and Position | Vimala Shakar (ADMIN) |
| Authorized Official Contact | 2167026600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Id Consultants Of Northeast Ohio, Inc 3609 Park East Dr Ste 207 Beachwood OH 44122-4309 Ph: (216) 360-9480 | Id Consultants Of Northeast Ohio, Inc 3609 Park East Dr Ste 207 Beachwood OH 44122-4309 Ph: (216) 360-0456 |
| NPI Number | 1255913117 |
|---|---|
| Provider Enumeration Date | 04/21/2021 |
| Last Update Date | 04/21/2021 |
| Medicare PECOS PAC ID | 1355747882 |
|---|---|
| Medicare Enrollment ID | O20210909001394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255913117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | K V Gopalakrishna |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1295769735 PECOS PAC ID: 4385622851 Enrollment ID: I20040717000302 |
| Provider Name | Richard A Chmielewski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174557615 PECOS PAC ID: 7012996598 Enrollment ID: I20040717000406 |
| Provider Name | David M Hutt |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992739445 PECOS PAC ID: 9830178318 Enrollment ID: I20040717000408 |
| Provider Name | Eva Ann Szathmary |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750311544 PECOS PAC ID: 9739168212 Enrollment ID: I20040717000418 |
| Provider Name | Najma Abdul Razzak |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841227063 PECOS PAC ID: 3173597648 Enrollment ID: I20040820000756 |
| Provider Name | Matthew Schinabeck |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1285662346 PECOS PAC ID: 8729047618 Enrollment ID: I20041006001040 |
| Provider Name | Houssein D Jahamy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982730578 PECOS PAC ID: 3971603689 Enrollment ID: I20070711000086 |
| Provider Name | David B Blossom |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255501557 PECOS PAC ID: 3375614043 Enrollment ID: I20080624000471 |
| Provider Name | William John Riebel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942213277 PECOS PAC ID: 8224153945 Enrollment ID: I20100917000178 |
| Provider Name | Zhuolin Han |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811034622 PECOS PAC ID: 0042489122 Enrollment ID: I20110805000423 |
| Provider Name | Linda M Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104253665 PECOS PAC ID: 7810125671 Enrollment ID: I20140124001221 |
| Provider Name | Sachin V Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942592258 PECOS PAC ID: 3577864941 Enrollment ID: I20161109001725 |
| Provider Name | Tannaz Asadi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790122893 PECOS PAC ID: 3577826924 Enrollment ID: I20180417001612 |
| Provider Name | Rishi Sharma |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1225472376 PECOS PAC ID: 7517260276 Enrollment ID: I20180604002901 |
| Provider Name | Hilary Steele |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912342106 PECOS PAC ID: 6204060494 Enrollment ID: I20180710002990 |
| Provider Name | Christina Dibartolomeo Boswell |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972031037 PECOS PAC ID: 2365798527 Enrollment ID: I20190725003519 |
| Provider Name | Muhannad Tello |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902118136 PECOS PAC ID: 7012145501 Enrollment ID: I20200514000398 |
| Provider Name | Kaitlyn E Weinert-stein |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710482062 PECOS PAC ID: 2860748811 Enrollment ID: I20230718003916 |
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Fatuma Midamba Md Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3619 Park East Dr, 205 S, Beachwood, OH 44122 Phone: 216-591-0942 Fax: 440-834-1902 | |
Everside Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25700 Science Park Dr Ste 120, Beachwood, OH 44122 Phone: 216-672-0211 | |
Impact Physician Group, Ohio Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23333 Harvard Rd, Beachwood, OH 44122 Phone: 216-593-2200 | |
Uhmp - Centers For Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3909 Orange Pl Ste 2500, Beachwood, OH 44122 Phone: 216-383-6776 Fax: 216-383-6745 | |
Connections Health Wellness Advocacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24200 Chagrin Blvd, Beachwood, OH 44122 Phone: 216-831-6466 Fax: 216-766-6083 | |
Id Consultants, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3609 Park East Dr, 207, Beachwood, OH 44122 Phone: 216-360-0456 Fax: 216-360-9449 |