Individual
MARVIN SIY SIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6847 N CHESTNUT ST STE 325, RAVENNA, OH 44266-3929
(330) 297-2401
(330) 297-4485
Mailing address
8055 MAYFIELD RD, STE 105, CHESTERLAND, OH 44026-2447
(440) 214-8027
(216) 201-8173
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
04-36211
KS
2084N0400X
Neurology Physician
Primary
35.134347
OH
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
04-36211
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003719271
CMS - MEDICARE
KS
05
—
0307547
—
OH
05
—
201074230A
—
KS
01
—
H651590
MEDICARE
OH
Enumeration date
07/26/2007
Last updated
12/16/2020
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