Healthcare Provider Details

I. General information

NPI: 1598781395
Provider Name (Legal Business Name): SUBER S HUANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 S GREEN RD STE 230
CLEVELAND OH
44121-4134
US

IV. Provider business mailing address

1611 S GREEN RD STE 230
CLEVELAND OH
44121-4134
US

V. Phone/Fax

Practice location:
  • Phone: 216-381-3366
  • Fax: 216-382-4959
Mailing address:
  • Phone: 216-382-3366
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number35-060299
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME130276
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number35-060299
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: