Healthcare Provider Details

I. General information

NPI: 1306050810
Provider Name (Legal Business Name): STANLEY H. NAHIGIAN M.D. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29001 CEDAR RD SUITE 519
CLEVELAND OH
44124-4062
US

IV. Provider business mailing address

29001 CEDAR RD SUITE 519
CLEVELAND OH
44124-4062
US

V. Phone/Fax

Practice location:
  • Phone: 440-473-3434
  • Fax: 440-473-0075
Mailing address:
  • Phone: 440-473-3434
  • Fax: 440-473-0075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number35022081
License Number StateOH

VIII. Authorized Official

Name: DR. STANLEY H NAHIGIAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 440-473-3434