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Organization
ST VINCENT CHARITY HOSPITAL
Active
Organization
ST VINCENT CHARITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEYVAN RAVAKHAH (PROGRAM DIRECTOR)
(216) 861-6200
Entity
Organization
Contact information
Practice address
2351 E 22ND ST, CLEVELAND, OH 44115-3111
(216) 861-6200
Mailing address
2351 E 22ND ST # 338W, CLEVELAND, OH 44115-3111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57.029856
OH
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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