Healthcare Provider Details

I. General information

NPI: 1356022503
Provider Name (Legal Business Name): PAULA ANDREA ESCOBAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2023
Last Update Date: 08/02/2023
Certification Date: 08/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

10600 CHESTER AVE APT 2301
CLEVELAND OH
44106-2237
US

V. Phone/Fax

Practice location:
  • Phone: 216-678-3618
  • Fax:
Mailing address:
  • Phone: 216-800-1150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number75000044
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: