Individual
PAUL VENIZELOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
805 COLUMBIA RD, 101, WESTLAKE, OH 44145-1487
(440) 835-6163
Mailing address
PO BOX 932085, CLEVELAND, OH 44193-0001
(888) 328-4492
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
35-038642
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0427694
—
OH
01
—
290008880
RAILROAD MEDICARE
OH
Enumeration date
05/31/2006
Last updated
03/16/2011
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