1952673923 NPI number — MARGARET A. KRAVANYA, D.O., INC.

Table of content: (NPI 1952673923)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952673923 NPI number — MARGARET A. KRAVANYA, D.O., INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARGARET A. KRAVANYA, D.O., INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952673923
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/03/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
24300 CHAGRIN BLVD
Provider Second Line Business Mailing Address:
SUITE 206
Provider Business Mailing Address City Name:
BEACHWOOD
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44122-5639
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
216-464-1100
Provider Business Mailing Address Fax Number:
216-464-2509

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
24300 CHAGRIN BLVD
Provider Second Line Business Practice Location Address:
SUITE 206
Provider Business Practice Location Address City Name:
BEACHWOOD
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44122-5639
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-464-1100
Provider Business Practice Location Address Fax Number:
216-464-2509
Provider Enumeration Date:
02/06/2012

Additional Information

Authorized Official

Authorized Official Last Name:
KRAVANYA
Authorized Official First Name:
MARGARET
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
216-464-1100

Provider Taxonomy Codes

  • Taxonomy code: 208D00000X , with the licence number:  34 001958 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0361181 . This is a "PTAN" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com