Individual
MAXIME FREIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE # A21, CLEVELAND, OH 44195-4500
(800) 223-2273
Mailing address
21125 SHELBURNE RD, SHAKER HEIGHTS, OH 44122-1946
(216) 219-1080
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
21427
MS
2085R0202X
Diagnostic Radiology Physician
57.011402
OH
2085R0202X
Diagnostic Radiology Physician
769-L
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06395191
—
MS
05
—
158937
—
AL
01
—
P01189939
RAILROAD MEDICARE PTAN
MS
Enumeration date
04/03/2008
Last updated
09/09/2021
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