Provider Demographics
NPI:1962706432
Name:MERON ELDAR, SHAI (MD)
Entity type:Individual
Prefix:
First Name:SHAI
Middle Name:
Last Name:MERON ELDAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SHAI
Other - Middle Name:
Other - Last Name:ELDAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:BARIATRIC METABOLIC INST. SUITE M61
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:BARIATRIC METABOLIC INST. SUITE M61
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-4407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-27
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital