Individual
JORDAN ATANASOV KAZAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE # BOLWELL 6, CLEVELAND, OH 44106-1716
(216) 844-1722
Mailing address
1401 PROSPECT AVE E APT 805, CLEVELAND, OH 44115-2349
(843) 902-7253
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
330879
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
FK4226595
OH
207RP1001X
Pulmonary Disease Physician
330879
LA
207RP1001X
Pulmonary Disease Physician
Primary
FK4226595
OH
208M00000X
Hospitalist Physician
330879
LA
Other
Enumeration date
12/06/2010
Last updated
03/14/2023
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