Individual
DR. MICHAEL PRAVEEN FERNANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE, GME BUILDING, CLEVELAND, OH 44195-0001
(216) 444-4621
Mailing address
124 DARROCH RD, DELMAR, NY 12054-3824
(914) 420-4360
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
57.010151
OH
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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