Individual
DR. CORINNE ANN BAZELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3941
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6950
(216) 383-6749
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
89013
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000249530
UNISON
OH
01
—
000000581366
ANTHEM
—
05
—
1912125428
—
MI
01
—
204881619914
CARESOURCE
OH
05
—
2780905
—
OH
01
—
467641
WELLCARE
OH
01
—
9457103
AETNA
—
01
—
P00735174
RAILROAD MEDICARE
OH
Enumeration date
04/22/2007
Last updated
12/07/2020
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