CLEVELAND BREAST CLINIC NPI 1215155015

NPI Information

  • NPI: 1215155015
  • Provider Name: CLEVELAND BREAST CLINIC
  • Classification: Surgery - 2086X0206X
  • Specialization: Surgical Oncology
  • Entity Type: Organization
  • Address: 18660 BAGLEY RD
    STE. 305 BLDG. 2
    CLEVELAND, OH
    ZIP 44130
  • Phone: (440) 234-9338

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NPI Details

CLEVELAND BREAST CLINIC is a surgical oncology surgery in Cleveland, OH. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. CLEVELAND BREAST CLINIC NPI is 1215155015. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18660 BAGLEY RD
STE. 305 BLDG. 2
CLEVELAND, OH
ZIP 44130-483
Phone: (440) 234-9338
Fax: (440) 234-1448

The provider's authorized official is Ahmad H. Shatila .
The authorized official title is Physician Owner and has the following contact phone number (440) 234-9338.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086X0206XSurgerySurgical OncologyOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11500454OTHEROHIOUMWA
2000006129197OTHEROHIOBLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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