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Individual

DANIEL I SIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, LAKESIDE 3001, CLEVELAND, OH 44106-5038
(216) 844-8151
(216) 844-8318
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
71840
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000224443
UNISON
OH
01
000000539520
ANTHEM
OH
05
2686437
OH
01
364015
WELLCARE
OH
01
5452126
AETNA
OH
01
751184
BUCKEYE
OH
01
P00337974
RAILROAD MEDICARE
OH
01
P00449230
RAILROAD MEDICARE
OH
Enumeration date
04/25/2006
Last updated
01/13/2021
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