Individual ProviderShatha MallahStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address2500 Metrohealth Dr, Cleveland, OH 44109-1900(216) 778-4494PECOS EnrollmentBased on the most recent information from CMS, provider Shatha Mallah does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1003793050Provider TypeIndividualFull NameMallah, ShathaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date8/20/2025Last Updated8/20/2025Contact InformationPractice LocationPractice Address2500 Metrohealth Dr, Cleveland, OH 44109-1900Phone(216) 778-4494FaxUnlisted FaxMailing LocationMailing Address2500 Metrohealth Dr, Cleveland, OH 44109-1900Phone(216) 778-4494FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense57.258909Ohio