MEDICARE: NARINE EPELBAUM

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	207Q00000X	Family Medicine Physician	1845089	OH
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	1845089	OH
3	208D00000X	General Practice Physician	1845089	OH

General Provider Information

NPI Number	:	1215170287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NARINE EPELBAUM

Provider Business Mailing Address
First Line	:	402 SANDHURST DR
Second Line	:
City	:	HIGHLAND HTS
State	:	OH
Zip	:	44143-3604
Country	:	US
Telephone Number	:	216-201-0339
Fax Number	:

Provider Business Practice Location Address
First Line	:	402 SANDHURST DR
Second Line	:
City	:	HIGHLAND HTS
State	:	OH
Zip	:	44143-3604
Country	:	US
Telephone Number	:	216-201-0339
Fax Number	:

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

Provider Enumeration Date	:	04/07/2009
Last Update Date	:	04/07/2009

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Directions to “ NARINE EPELBAUM ” Practice Location

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