Provider Demographics
NPI:1871759217
Name:BEYTH, SHAUL (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:SHAUL
Middle Name:
Last Name:BEYTH
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2567 LARCHMONT RD
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-1515
Mailing Address - Country:US
Mailing Address - Phone:216-333-0008
Mailing Address - Fax:
Practice Address - Street 1:2567 LARCHMONT RD
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-1515
Practice Address - Country:US
Practice Address - Phone:216-333-0008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-05
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program