Individual
DR. LARRY DASHEFSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6803 MAYFIELD RD STE 409, MAYFIELD HEIGHTS, OH 44124-2214
(440) 449-2000
(440) 449-9393
Mailing address
6803 MAYFIELD RD STE 409, MAYFIELD HEIGHTS, OH 44124-2214
(440) 449-2000
(440) 449-9393
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35-05-4912-D
OH
2084N0600X
Clinical Neurophysiology Physician
35-05-4912-D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0657409
—
OH
Enumeration date
07/06/2006
Last updated
01/06/2011
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