Organization
ALAN E KRAVITZ MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN E KRAVITZ IV MD (PRESIDENT)
(440) 995-4000
Entity
Organization
Contact information
Practice address
29001 CEDAR RD, #615, LYNDHURST, OH 44124-4062
(440) 995-4000
(440) 995-4023
Mailing address
29001 CEDAR RD, #615, LYNDHURST, OH 44124-4062
(440) 995-4000
(440) 995-4023
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-038909
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000128649
ANTHEM PROVIDER#
OH
05
—
0298549
—
OH
01
—
142321733001
MEDICAL MUTUAL PROVIDER#
OH
01
—
35-035909
MEDICAL LICENSE #
OH
Enumeration date
08/18/2006
Last updated
03/07/2023
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