Fairview Hospital | |
18200 Lorain Ave Cleveland OH 44111-5605 | |
(216) 476-7086 | |
(216) 476-7604 |
Full Name | Fairview Hospital |
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Speciality | Family Medicine |
Location | 18200 Lorain Ave, Cleveland, Ohio |
Authorized Official Name and Position | Anuradha Bakshi (RESIDENT) |
Authorized Official Contact | 2164767086 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fairview Hospital 18200 Lorain Ave Cleveland OH 44111-5605 Ph: (216) 476-7086 | Fairview Hospital 18200 Lorain Ave Cleveland OH 44111-5605 Ph: (216) 476-7086 |
NPI Number | 1164643136 |
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Provider Enumeration Date | 05/01/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164643136 | NPI | - | NPPES |
57011880 | Other | OH | TEMPORARY LICENSE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 57011880 (Ohio) | Primary |
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