Provider Demographics
NPI:1942810478
Name:PODE SHAKKED, NAOMI (MD, PHD)
Entity Type:Individual
Prefix:MRS
First Name:NAOMI
Middle Name:
Last Name:PODE SHAKKED
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:NAOMI
Other - Middle Name:
Other - Last Name:SHAKKED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3333 BURNET AVE MLC 7022
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229
Mailing Address - Country:US
Mailing Address - Phone:513-410-8961
Mailing Address - Fax:513-636-5455
Practice Address - Street 1:CINCINNATI CHILDREN'S HOSPITAL MEDICAL CENTER
Practice Address - Street 2:3333 BURNET AVENUE
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229
Practice Address - Country:US
Practice Address - Phone:513-636-4531
Practice Address - Fax:513-636-5455
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-10
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program