Individual
NIKI STAMOS KOTEVSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-5149
Mailing address
8709 ROYAL OAK DR, HOLLAND, OH 43528-9006
(330) 245-8479
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
120710
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35.120710
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609004878
NPI
OH
Enumeration date
06/26/2009
Last updated
11/15/2021
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