Organization
OHIO CHEST PHYSICIANS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA GORKAVCHUK (INTERIM PRACTICE MANAGER)
(216) 267-5139
Entity
Organization
Contact information
Practice address
15805 PURITAS AVE, CLEVELAND, OH 44135-2611
(216) 267-5139
(216) 267-5133
Mailing address
PO BOX 932085, CLEVELAND, OH 44193-0007
(330) 400-5437
(330) 546-7758
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001738
—
OH
05
—
2365015
—
OH
01
—
CD4623
RAILROAD MEDICARE
OH
01
—
CD4624
RAILROAD MEDICARE
OH
01
—
CD4625
RAILROAD MEDICARE
OH
01
—
CD6683
RAILROAD MEDICARE
OH
01
—
DB6758
RAILROAD MEDICARE
OH
Enumeration date
05/19/2006
Last updated
01/26/2024
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