Healthcare Provider Details

I. General information

NPI: 1386801389
Provider Name (Legal Business Name): WINNIE CHIWAH PAO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2008
Last Update Date: 02/04/2022
Certification Date: 02/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE # U10
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

9500 EUCLID AVE # U10
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 166-369-4672
  • Fax:
Mailing address:
  • Phone: 216-636-9467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number104949
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number53436
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME101624
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number35.133358
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: