Healthcare Provider Details

I. General information

NPI: 1861490179
Provider Name (Legal Business Name): MIRCEA I CATANA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/11/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18099 LORAIN AVE SUITE 250
CLEVELAND OH
44111-5610
US

IV. Provider business mailing address

3197 NORTHWOOD LN
WESTLAKE OH
44145-3720
US

V. Phone/Fax

Practice location:
  • Phone: 216-252-6606
  • Fax: 206-252-6696
Mailing address:
  • Phone: 440-892-0997
  • Fax: 216-252-6696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number31048274C
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: