Individual
ANDRE M FABIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1000
Mailing address
3605 WARRENSVILLE CENTER RD, SHAKER HEIGHTS, OH 44122-5203
(216) 286-6295
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-088788
OH
208M00000X
Hospitalist Physician
Primary
35-088788
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000217886
UNISON
OH
01
—
000000506288
ANTHEM
OH
05
—
2720649
—
OH
01
—
414969
WELLCARE
OH
01
—
7431877
AETNA
OH
01
—
745865
BUCKEYE
OH
01
—
P00372945
RAILROAD MEDICARE
OH
Enumeration date
10/24/2006
Last updated
01/26/2008
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