Individual
DR. PREM S. JAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE/Q10-1, GLICKMAN UROLOGICAL & KIDNEY INSTITUTE, CLEVELAND, OH 44195
(216) 444-0221
(216) 636-4492
Mailing address
9500 EUCLID AVE/Q10-1, GLICKMAN UROLOGICAL & KIDNEY INSTITUTE, CLEVELAND, OH 44195
(216) 444-0221
(216) 636-4492
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35-03-7561J
OH
208800000X
Urology Physician
35037561J
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0309615
—
OH
Enumeration date
11/10/2005
Last updated
06/15/2011
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