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Individual

CANDIS N PLATT HOUSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-082904
OH
208000000X
Pediatrics Physician
35082904
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000221236
UNISON
OH
01
000000526141
ANTHEM
OH
05
1018900270001
PA
01
2408675
BCMH
OH
05
2408675
OH
01
363917
WELLCARE
OH
01
740613
BUCKEYE
OH
01
7978468
AETNA
OH
Enumeration date
06/24/2006
Last updated
12/27/2021
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