Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Id Consultants of Northeast Ohio, Inc

Organization Infectious Disease Physician · NPI 1255913117

Id Consultants of Northeast Ohio, Inc is an Infectious Disease Physician in Beachwood, Ohio. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3609 Park East Dr Ste 207
Beachwood, OH 44122-4309
Phone: (216) 360-0456
Fax: (216) 360-9449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X

Record details

NPI number1255913117
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vimala Shakar — Admin · (216) 702-6600
NPI enumeratedApril 21, 2021
Last updated in NPPESApril 21, 2021
Certification dateApril 21, 2021
Mailing address3609 Park East Dr Ste 207, Beachwood, OH 44122-4309

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