Healthcare Provider Details
I. General information
NPI: 1932176385
Provider Name (Legal Business Name): HELEN V NARVAJA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/03/2006
Last Update Date: 07/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18101 LORAIN AVE
CLEVELAND OH
44111-5612
US
IV. Provider business mailing address
PO BOX 74953
CLEVELAND OH
44194-1036
US
V. Phone/Fax
- Phone: 216-476-7000
- Fax:
- Phone: 440-879-0081
- Fax: 440-879-0084
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 35-037581 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: