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

Shota Watanabe, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558740985

Shota Watanabe, MD is a Student in an Organized Health Care Education/Training Program in Cleveland, Ohio. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone: (216) 541-1758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1558740985
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2015
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023
Mailing address651 Ilalo St # 411e, Honolulu, HI 96813-5525

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