Individual
ENKELEJDA PLASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25200 CENTER RIDGE RD, SUITE 3200, WESTLAKE, OH 44145-4141
(440) 331-3356
Mailing address
24651 CENTER RIDGE RD, SUITE 350, WESTLAKE, OH 44145-5635
(440) 895-5056
(440) 333-2935
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-083943
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000328291
ANTHEM
OH
01
—
000000342373
ANTHEM
OH
01
—
0119204
MEDICAID GROUP NUMBER
OH
05
—
2514550
—
OH
01
—
9273172
MEDICARE GROUP PTAN
OH
01
—
9322131
GROUP MEDICARE PIN
OH
Enumeration date
11/07/2005
Last updated
04/27/2016
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