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Organization

YOEL S. ANOUCHI, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. YOEL SHLOMO ANOUCHI M.D. (PRESIDENT)
(440) 460-0454
Entity
Organization

Contact information

Practice address
6803 MAYFIELD RD, SUITE 314, MAYFIELD HTS, OH 44124-2271
(440) 460-0454
(440) 460-0492
Mailing address
6803 MAYFIELD RD, SUITE 314, MAYFIELD HTS, OH 44124-2271
(440) 460-0454
(440) 460-0492

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35-04-9112
OH
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
35-04-9112
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000000140525
ANTHEM BC/BS
OH
01
01944904800
OH BUREAU OF WORKERS' COM
OH
01
019449048012
MEDICAL MUTUAL OF OHIO
OH
01
019449048014
MEDICAL MUTUAL OF OHIO
OH
01
019449048015
MEDICAL MUTUAL OF OHIO
OH
05
0742941
OH
01
102628
KAISER
OH
01
341856471026
CARESOURCE
OH
Enumeration date
05/18/2006
Last updated
09/11/2025
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