Individual
DR. GREGORY BRANDON ATKINS
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
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2167963
MA
207RC0000X
Cardiovascular Disease Physician
Primary
35-089007
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224463
UNISON
—
01
—
000000539490
ANTHEM
—
05
—
2703711
—
OH
01
—
379007
WELLCARE
—
01
—
743603
BUCKEYE
OH
01
—
743603
BUCKEYE
—
01
—
7737929
AETNA
—
01
—
P00374191
RAILROAD MEDICARE
OH
Enumeration date
11/30/2005
Last updated
07/22/2011
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