Healthcare Provider Details

I. General information

NPI: 1245790963
Provider Name (Legal Business Name): MICHELLE LITTMAN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELLE SERGI DO

II. Dates (important events)

Enumeration Date: 03/20/2019
Last Update Date: 07/16/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-1716
US

IV. Provider business mailing address

11100 EUCLID AVE
CLEVELAND OH
44106-1716
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-2200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080H0002X
TaxonomyPediatric Hospice and Palliative Medicine Physician
License Number34.016315
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number34.016315
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: