Individual
YAKOV L ELGUDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-5770
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
35-082495
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
A83178
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2495161
—
OH
Enumeration date
07/17/2006
Last updated
01/12/2021
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