Healthcare Provider Details

I. General information

NPI: 1629334669
Provider Name (Legal Business Name): VLAD APOSTOL D.O
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2012
Last Update Date: 08/02/2024
Certification Date: 08/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27100 CHARDON RD
RICHMOND HEIGHTS OH
44143
US

IV. Provider business mailing address

26500 AMHEARST CIR APT 205
BEACHWOOD OH
44122-8502
US

V. Phone/Fax

Practice location:
  • Phone: 440-585-6500
  • Fax:
Mailing address:
  • Phone: 516-993-2350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number58004312
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number5101024375
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: