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NPI Code Detail

MEDICARE: ANNA MITCHELL MD

MEDICARE:   ANNA  MITCHELL  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
1207SG0201XClinical Genetics (M.D.) Physician35.84888OH
2207SG0201XClinical Genetics (M.D.) Physician35-084888OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000343700OTHEROHANTHEM
2363851OTHEROHWELLCARE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4000000529593OTHEROHANTHEM
57057443OTHEROHAETNA
6745995OTHEROHBUCKEYE
7000000224399OTHEROHUNISON
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710903687
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA MITCHELL MD
Provider Business Mailing Address
First Line : 24701 EUCLID AVE
Second Line : 3RD FLOOR
City : EUCLID
State : OH
Zip : 44117-1714
Country : US
Telephone Number :
Fax Number : 216-383-6749
Provider Business Practice Location Address
First Line : 11100 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number : 216-844-3936
Fax Number : 216-286-6341
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 12/21/2020

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Directions to “ ANNA MITCHELL MD” Practice Location

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