Individual
DR. CHARLES MBANEFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D MRCP
Contact information
Practice address
11201 SHAKER BLVD SUITE 130, CLEVELAND, OH 44104-3833
(216) 368-5687
Mailing address
11201 SHAKER BLVD SUITE 130, CLEVELAND, OH 44104-3833
(216) 368-5687
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35051577M
OH
Other
Enumeration date
02/26/2007
Last updated
01/23/2013
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