MEDICARE: DR. ABBE DOV MENDLOWITZ M.D.

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
1	2085R0202X	Diagnostic Radiology Physician	35-085706	OH
2	2085R0202X	Diagnostic Radiology Physician	D0033927	MD
3	2085R0202X	Diagnostic Radiology Physician	101039732	VA
4	2085R0202X	Diagnostic Radiology Physician	MD420740	PA
5	2085R0202X	Diagnostic Radiology Physician	30235	AZ
6	2085R0202X	Diagnostic Radiology Physician	25MA07875900	NJ
7	2085R0202X	Diagnostic Radiology Physician	036-112468	IL
8	2085R0202X	Diagnostic Radiology Physician	MD15988	DC
9	2085R0202X	Diagnostic Radiology Physician	4301084782	MI
10	2085R0202X	Diagnostic Radiology Physician	042949	CT
11	2085R0202X	Diagnostic Radiology Physician	35979	IA
12	2085R0202X	Diagnostic Radiology Physician	ME63445	FL
13	2085R0202X	Diagnostic Radiology Physician	MD0000039988	TN

General Provider Information

NPI Number	:	1154304988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABBE DOV MENDLOWITZ M.D.

Provider Business Mailing Address
First Line	:	1413 GOLDEN GATE BLVD
Second Line	:	SUITE 250
City	:	MAYFIELD HTS
State	:	OH
Zip	:	44124-3420
Country	:	US
Telephone Number	:	440-605-1561
Fax Number	:	440-605-1345

Provider Business Practice Location Address
First Line	:	1413 GOLDEN GATE BLVD
Second Line	:	SUITE 250
City	:	MAYFIELD HTS
State	:	OH
Zip	:	44124-3420
Country	:	US
Telephone Number	:	440-605-1561
Fax Number	:	440-605-1345

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2005
Last Update Date	:	05/11/2016

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