Provider Demographics
NPI:1407458953
Name:SHAVIT, REUT (MD)
Entity type:Individual
Prefix:DR
First Name:REUT
Middle Name:
Last Name:SHAVIT
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 1:3 SHLOMO ELIRAZ ST.
Mailing Address - Street 2:
Mailing Address - City:RISHON LE ZION
Mailing Address - State:HAMERKAZ
Mailing Address - Zip Code:7533697
Mailing Address - Country:IL
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-6402
Practice Address - Country:US
Practice Address - Phone:216-678-1425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-10
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY304746390200000X
OH35.148536208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program