MEDICARE: ELIJAH GEE BLAND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	VP085917	OH

General Provider Information

NPI Number	:	1184589509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIJAH GEE BLAND

Provider Business Mailing Address
First Line	:	1794 E 87TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-2023
Country	:	US
Telephone Number	:	216-278-6500
Fax Number	:	216-278-6500

Provider Business Practice Location Address
First Line	:	1794 E 87TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-2023
Country	:	US
Telephone Number	:	216-278-6500
Fax Number	:	216-278-6500

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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