Individual
DR. STEFANI NIKE PARRISBALOGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10524 EUCLID AVE, CLEVELAND, OH 44106
(216) 844-2400
Mailing address
121 LUNA LN, HENDERSONVILLE, TN 37075-4422
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35091174
OH
2084P0800X
Psychiatry Physician
35091174
OH
2084P0800X
Psychiatry Physician
4301106892
MI
2084P0800X
Psychiatry Physician
Primary
55654
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2929308
—
OH
01
—
P00929250
MEDICARE RAILROAD
OH
Enumeration date
06/09/2008
Last updated
05/18/2018
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