Organization
IDEAL VASCULAR CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANY ANTON MD (OWNER)
(216) 536-9844
Entity
Organization
Contact information
Practice address
20455 LORAIN RD STE T1, FAIRVIEW PARK, OH 44126-3495
(216) 536-9844
Mailing address
20455 LORAIN RD STE T1, FAIRVIEW PARK, OH 44126-3495
(216) 536-9844
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
03/02/2019
Last updated
04/09/2019
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