Healthcare Provider Details

I. General information

NPI: 1386488070
Provider Name (Legal Business Name): PERRI I VON SEEBACH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2024
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10900 EUCLID AVE
CLEVELAND OH
44106-1712
US

IV. Provider business mailing address

11100 EUCLID AVE
CLEVELAND OH
44106-1716
US

V. Phone/Fax

Practice location:
  • Phone: 205-413-7906
  • Fax:
Mailing address:
  • Phone: 216-844-2601
  • Fax: 216-286-3444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number50.009900RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: