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NPI Code Detail

MEDICARE: DR. CAROL MEREDITH CAVEY MD

MEDICARE: DR. CAROL MEREDITH CAVEY MD
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
12084P0800XPsychiatry Physician35-04-7870OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588864235
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROL MEREDITH CAVEY MD
Provider Business Mailing Address
First Line : 2219 N SAINT JAMES PKWY
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44106-3330
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-3736
Country : US
Telephone Number : 216-931-1423
Fax Number : 216-694-6379
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2007
Last Update Date : 04/22/2014

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