Provider Demographics
NPI:1952341877
Name:ZUTSHI, MASSARAT (MD)
Entity Type:Individual
Prefix:
First Name:MASSARAT
Middle Name:
Last Name:ZUTSHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15013 SHORE ACRES DR STE 10
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44110-1239
Mailing Address - Country:US
Mailing Address - Phone:216-402-7543
Mailing Address - Fax:
Practice Address - Street 1:23300 CHAGRIN BLVD STE 105
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5536
Practice Address - Country:US
Practice Address - Phone:216-402-7543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35085902208C00000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2558263Medicaid
OH2558263Medicaid
OHZU7346111Medicare PIN