Healthcare Provider Details

I. General information

NPI: 1508212564
Provider Name (Legal Business Name): CHRISTOPHER B TRANER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2016
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE # S51
CLEVELAND OH
44195-1369
US

IV. Provider business mailing address

15 YORK STREET LCI -9TH FLOOR
NEW HAVEN CT
06510
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-2560
  • Fax:
Mailing address:
  • Phone: 203-785-3865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License Number35.149859
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number35.149859
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number35.149859
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: