Healthcare Provider Details

I. General information

NPI: 1861660516
Provider Name (Legal Business Name): ORI KUSHNIR MD OBGYN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2008
Last Update Date: 02/07/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25701 N LAKELAND BLVD STE #302
EUCLID OH
44132-2452
US

IV. Provider business mailing address

25701 N LAKELAND BLVD STE #302
EUCLID OH
44132-2452
US

V. Phone/Fax

Practice location:
  • Phone: 440-461-2421
  • Fax: 216-417-2912
Mailing address:
  • Phone: 440-461-2421
  • Fax: 216-417-2912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. ORI KUSHNIR
Title or Position: MD, PHYSICIAN
Credential: MD
Phone: 216-287-7417