Individual
STACIE A JHAVERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24700 LORAIN RD, SUITE 304, NORTH OLMSTED, OH 44070-2088
(440) 777-5660
(440) 777-7036
Mailing address
24700 LORAIN RD, SUITE 304, NORTH OLMSTED, OH 44070-2088
(440) 777-5660
(440) 777-7036
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35071975
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2074722
—
OH
Enumeration date
05/17/2006
Last updated
01/03/2009
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