Healthcare Provider Details

I. General information

NPI: 1508785395
Provider Name (Legal Business Name): EVANDRO MARTINS FILHO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 EUCLID AVE
CLEVELAND OH
44106-1716
US

IV. Provider business mailing address

12303 CEDAR RD APT 126
CLEVELAND HEIGHTS OH
44106-3174
US

V. Phone/Fax

Practice location:
  • Phone: 216-844-1000
  • Fax:
Mailing address:
  • Phone: 440-431-7392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number75000093
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: