Sundaresh, Shailaja
Sundaresh, Shailaja is an individual health care provider with primary practice located at 26250 Euclid Ave Suite 203, Euclid OH 44132-3305. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Sundaresh, Shailaja can be contacted via phone (216) 261-2333.Contact Information
Primary practice address
26250 Euclid Ave Suite 203
Euclid OH 44132-3305
Phone: (216) 261-2333
Fax: (216) 289-0748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 35-039142 | Ohio |
Profile Details
| NPI number | 1124077540 |
|---|---|
| LBN Legal business name | Sundaresh, Shailaja |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Nov 21st, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124077540 | NPPES |
| Ohio | MEDICAID | 0342598 |
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