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MELVIN MEDOF

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
207RR0500X
Rheumatology Physician
Primary
35-053029
OH
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
35-053029
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000224306
UNISON
OH
01
000000539591
ANTHEM
OH
05
0679305
OH
01
2139976
AETNA
OH
01
363828
WELLCARE
OH
01
700006821
RAILROAD MEDICARE
OH
01
750713
BUCKEYE
OH
Enumeration date
07/19/2006
Last updated
08/01/2012
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