Individual
LOUIS J NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9485 MENTOR AVE STE 3, MENTOR, OH 44060-8711
(440) 205-5755
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35-032491
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000140692
ANTHEM
OH
01
—
000000224314
UNISON
OH
01
—
000000529632
ANTHEM
OH
05
—
0312370
—
OH
01
—
2119518
AETNA
OH
01
—
363884
WELLCARE
OH
01
—
739357
BUCKEYE
OH
01
—
920004651
RAILROAD MEDICARE
OH
Enumeration date
08/20/2006
Last updated
12/23/2020
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