Individual
DR. RAYMOND ISAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE, A60, CLEVELAND, OH 44195-0001
(216) 445-3765
(216) 444-9419
Mailing address
9500 EUCLID AVE, A60, CLEVELAND, OH 44195-0001
(216) 445-3765
(216) 444-9419
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35.084047
OH
2086S0122X
Plastic and Reconstructive Surgery Physician
M2660
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
612358
PROVIDER NO. CMS
TX
Enumeration date
02/08/2006
Last updated
06/15/2011
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