Provider Demographics
NPI:1306167135
Name:SHAFRAN, TAMAR B (MD)
Entity type:Individual
Prefix:DR
First Name:TAMAR
Middle Name:B
Last Name:SHAFRAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TAMAR
Other - Middle Name:
Other - Last Name:GOLDSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:35010 CHARDON RD
Mailing Address - Street 2:BLDG IV, SUITE 102
Mailing Address - City:WILLOUGHBY HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44094-9010
Mailing Address - Country:US
Mailing Address - Phone:216-574-8900
Mailing Address - Fax:216-731-2627
Practice Address - Street 1:35010 CHARDON RD
Practice Address - Street 2:BLDG IV, SUITE 102
Practice Address - City:WILLOUGHBY HILLS
Practice Address - State:OH
Practice Address - Zip Code:44094-9010
Practice Address - Country:US
Practice Address - Phone:216-574-8900
Practice Address - Fax:216-731-2627
Is Sole Proprietor?:No
Enumeration Date:2010-06-16
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH35.122904207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program