Provider Demographics
NPI:1952896250
Name:SIGNATURE MEDS, LLC
Entity Type:Organization
Organization Name:SIGNATURE MEDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAHED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-252-8000
Mailing Address - Street 1:PO BOX 770850
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-0038
Mailing Address - Country:US
Mailing Address - Phone:216-252-8000
Mailing Address - Fax:216-252-8117
Practice Address - Street 1:19050 LORAIN RD
Practice Address - Street 2:
Practice Address - City:FAIRVIEW PARK
Practice Address - State:OH
Practice Address - Zip Code:44126-1915
Practice Address - Country:US
Practice Address - Phone:216-252-8000
Practice Address - Fax:216-252-8117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-28
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.081431207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty