Individual
CAROLYN P CACHO BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-8500
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35060701
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224250
UNISON
OH
01
—
000000539536
ANTHEM
OH
01
—
0643883
AETNA
OH
05
—
0814551
—
OH
01
—
363389
WELLCARE
OH
01
—
741800
BUCKEYE
OH
01
—
P00454325
RAILROAD MEDICARE
OH
Enumeration date
06/26/2006
Last updated
06/28/2011
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