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NPI Code Detail

MEDICARE: MANOELA DANTAS MD

MEDICARE:   MANOELA  DANTAS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11744R1102XResearch Study SpecialistOH

General Provider Information

NPI Number : 1003762345
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANOELA DANTAS MD
Provider Business Mailing Address
First Line : 10600 CHESTER AVE APT 1517
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-0217
Country : US
Telephone Number : 216-444-2200
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0002
Country : US
Telephone Number : 216-444-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ MANOELA DANTAS MD” Practice Location

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