Individual
PENALI N. NOTICEWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9500 EUCLID AVE # G10, CLEVELAND, OH 44195-0001
(216) 445-5549
(216) 636-1524
Mailing address
9500 EUCLID AVE # G10, CLEVELAND, OH 44195-0001
(216) 445-5549
(216) 636-1524
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.097675
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415459200
—
MD
01
—
932486-01 & 02
CAREFIRST - MD
MD
01
—
S062-0325
CAREFIRST - REGIONAL
MD
Enumeration date
02/21/2007
Last updated
05/01/2012
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