Healthcare Provider Details

I. General information

NPI: 1295786770
Provider Name (Legal Business Name): REUBEN GOBEZIE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 06/15/2024
Certification Date: 06/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 ALLEN BRADLEY DR
CLEVELAND OH
44124-6130
US

IV. Provider business mailing address

300 ALLEN BRADLEY DR
CLEVELAND OH
44124-6130
US

V. Phone/Fax

Practice location:
  • Phone: 844-746-8537
  • Fax: 216-313-9166
Mailing address:
  • Phone: 844-746-8537
  • Fax: 216-313-9166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number35-088096
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: