Individual provider · Type 1 NPI

Shota Watanabe, MD

Student in an Organized Health Care Education/Training Program · Cleveland, OH

NPI number 1558740985 Active

Practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Mailing address

651 Ilalo St # 411E
Honolulu, HI 96813-5525

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1558740985

Shota Watanabe, MD's National Provider Identifier is 1558740985, issued on May 18, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cleveland, OH. The record was last updated on Jun 13, 2023.