Individual
EDWARD D SIVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
199272
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
199272
NY
207RP1001X
Pulmonary Disease Physician
199272
NY
207RP1001X
Pulmonary Disease Physician
Primary
35.040752
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669406773
BWC
OH
05
—
3022615
—
OH
Enumeration date
07/11/2006
Last updated
12/27/2021
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