Individual
DR. IDYA PRAVEEN KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13301 MILES AVE, CLEVELAND, OH 44105-5521
(216) 751-3100
(216) 751-2480
Mailing address
4800 PAYNE AVE, CLEVELAND, OH 44103-2443
(216) 231-7700
(216) 231-3828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35066270
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0131351
—
OH
Enumeration date
05/23/2005
Last updated
03/05/2024
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