Provider Demographics
NPI:1063615375
Name:DAOUD, SHAZA (MD)
Entity type:Individual
Prefix:DR
First Name:SHAZA
Middle Name:
Last Name:DAOUD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24558 TRICIA DR
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-4979
Mailing Address - Country:US
Mailing Address - Phone:440-979-1432
Mailing Address - Fax:
Practice Address - Street 1:5500 BROADVIEW RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-1606
Practice Address - Country:US
Practice Address - Phone:216-351-7700
Practice Address - Fax:216-785-9400
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.094454207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine