Healthcare Provider Details

I. General information

NPI: 1760518435
Provider Name (Legal Business Name): ALINA VILINSKY BODAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 09/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CLEVELAND CLINIC 9500 EUCLID AVE P21
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

CLEVELAND CLINIC 9500 EUCLID AVE P21
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-5996
  • Fax:
Mailing address:
  • Phone: 216-444-5996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number35091798
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number35091798
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: