Medina, Maria Aileenmichelle P

Medina, Maria Aileenmichelle P is an individual health care provider with primary practice located at 12000 Mccracken Rd Suite 206, Garfield Heights OH 44125-2964. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Medina, Maria Aileenmichelle P can be contacted via phone (216) 584-7840.

Contact Information

Primary practice address
12000 Mccracken Rd Suite 206 Garfield Heights OH 44125-2964
Phone: (216) 584-7840
Fax: (216) 584-7860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 74782 Ohio

Profile Details

NPI number 1366463515
LBN Legal business name Medina, Maria Aileenmichelle P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Oct 11th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366463515 NPPES
Ohio MEDICAID 2741322
Ohio Other 400779

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