Provider Demographics
NPI:1518948785
Name:SHATNAWEI, ABDULLAH SULEIMAN (MD)
Entity Type:Individual
Prefix:
First Name:ABDULLAH
Middle Name:SULEIMAN
Last Name:SHATNAWEI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVENUE
Mailing Address - Street 2:A51
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195
Mailing Address - Country:US
Mailing Address - Phone:216-445-9055
Mailing Address - Fax:216-445-1378
Practice Address - Street 1:9500 EUCLID AVENUE
Practice Address - Street 2:A51
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195
Practice Address - Country:US
Practice Address - Phone:216-445-9055
Practice Address - Fax:216-445-1378
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-085161207R00000X
OH35085161207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2611856Medicaid
OHI-44490Medicare UPIN
OH2611856Medicaid