Individual
DR. KENNETH A. MAYUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE, DESK J2-2, CLEVELAND, OH 44195-0001
(216) 444-0330
Mailing address
9500 EUCLID AVE, DESK J2-2, CLEVELAND, OH 44195-0001
(216) 444-0330
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
104486
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
104486
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2008
Last updated
06/13/2014
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