Organization
ST VINCENT CHARITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEYVAN RAVAKAHN M.D (PROGRAM DIRECTOR)
(216) 363-2715
Entity
Organization
Contact information
Practice address
1700 E 13TH ST APT 21X, CLEVELAND, OH 44114-3223
(248) 420-9744
Mailing address
1700 E 13TH ST APT 21X, CLEVELAND, OH 44114-3223
(248) 420-9744
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
57019192
OH
Other
Enumeration date
01/12/2012
Last updated
01/13/2012
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