Individual
YAEL R TAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1636
Mailing address
3685 BENDEMEER RD, CLEVELAND, OH 44118-1955
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-088191
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000211092
UNISON
OH
01
—
000000503556
ANTHEM
OH
05
—
2687034
—
OH
01
—
364073
WELLCARE MEDICAID
OH
01
—
744021
BUCKEYE MEDICAID
OH
01
—
7863905
AETNA
OH
01
—
P00391000
MEDICARE RAILROAD
OH
Enumeration date
08/04/2006
Last updated
07/18/2012
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