Individual
IVAN T CAKULEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-8500
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35-081374
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
35-081374
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
35.081374
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224440
UNISON
—
01
—
000000539491
ANTHEM
—
05
—
2523111
—
OH
01
—
363391
WELLCARE
—
01
—
734681
BUCKEYE
—
01
—
7598674
AETNA
OH
01
—
P00226315
RAILROAD MEDICARE
OH
01
—
P00428927
RAILROAD MEDICARE
OH
Enumeration date
07/13/2006
Last updated
01/14/2021
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