Individual
DR. NANA KOBAIVANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13944 EUCLID AVE, EAST CLEVELAND, OH 44112-3804
(216) 767-4242
Mailing address
13944 EUCLID AVE, EAST CLEVELAND, OH 44112-3804
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35081513
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2351002
—
OH
Enumeration date
05/04/2006
Last updated
10/10/2021
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