Dr Gautam Vinod Shah, MD | |
20455 Lorain Rd Fl 2, Fairview Park, OH 44126 | |
(216) 408-1044 | |
Not Available |
Full Name | Dr Gautam Vinod Shah |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 12 Years |
Location | 20455 Lorain Rd Fl 2, Fairview Park, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265865034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 35.136566 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cleveland Clinic | Cleveland, OH | Hospital |
Fairview Hospital | Cleveland, OH | Hospital |
Cleveland Clinic Avon Hospital | Avon, OH | Hospital |
Euclid Hospital | Euclid, OH | Hospital |
South Pointe Hospital | Warrensville heights, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cleveland Clinic Foundation | 1850203555 | 5680 |
Clinic Medical Services Company | 5698674653 | 260 |
Entity Name | The Cleveland Clinic Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
Entity Name | Clinic Medical Services Company |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528013984 PECOS PAC ID: 5698674653 Enrollment ID: O20040108000271 |
Mailing Address | Practice Location Address |
---|---|
Dr Gautam Vinod Shah, MD 20455 Lorain Rd Fl 2, Fairview Park, OH 44126-3530 Ph: (216) 408-1044 | Dr Gautam Vinod Shah, MD 20455 Lorain Rd Fl 2, Fairview Park, OH 44126 Ph: (216) 408-1044 |
Marcello M. Mellino, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 20455 Lorain Rd, Second Floor, Fairview Park, OH 44126 Phone: 440-333-8600 Fax: 440-333-5015 | |
Anthony G. Vlastaris, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 20455 Lorain Rd, Second Floor, Fairview Park, OH 44126 Phone: 440-333-8600 Fax: 440-333-5015 | |
Hany S.y. Anton, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 20455 Lorain Rd Ste T-01, Fairview Park, OH 44126 Phone: 440-799-4811 Fax: 440-799-4820 | |
Dr. Mohamed Bashar Mamlouk, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 20455 Lorain Rd Ste 104b, Fairview Park, OH 44126 Phone: 440-356-2715 Fax: 440-356-6978 | |
Daniel L Mayer, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 20455 Lorain Rd, Suite 104, Fairview Park, OH 44126 Phone: 440-333-4383 Fax: 440-333-4192 | |
Andrew J. Sakiewicz, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 20455 Lorain Rd, Second Floor, Fairview Park, OH 44126 Phone: 440-333-8600 Fax: 440-333-5015 |