Individual
CHRISTOPHER T SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6770 MAYFIELD RD. SUITE 421, CLEVELAND, OH 44124-1716
(440) 449-1101
Mailing address
6770 MAYFIELD RD. SUITE 421, CLEVELAND, OH 44124
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
35-076790
OH
208600000X
Surgery Physician
Primary
35-076790
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221082
UNISON
OH
01
—
000000503726
ANTHEM
—
01
—
2130732
BCMH
OH
05
—
2130732
—
OH
01
—
364012
WELLCARE
OH
01
—
738100
BUCKEYE
OH
01
—
7461008
AETNA
—
01
—
P00235804
RAILROAD MEDICARE
OH
01
—
P00372966
RAILROAD MEDICARE
OH
Enumeration date
07/19/2006
Last updated
10/14/2019
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