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NPI Code Detail

MEDICARE: MAI TRIEU DO

MEDICARE: MAI TRIEU DO
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
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician34008768OH
2207Q00000XFamily Medicine Physician34.008768OH
3208D00000XGeneral Practice Physician34.008768OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19006832OTHEROHSUMMACARE
2000000523316OTHEROHANTHEM BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255460267
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAI TRIEU DO
Provider Business Mailing Address
First Line : 10701 EAST BLVD
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1702
Country : US
Telephone Number : 216-791-3800
Fax Number :
Provider Business Practice Location Address
First Line : 10701 EAST BLVD
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1702
Country : US
Telephone Number : 216-791-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 08/12/2025

Similar Medicare Providers

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1992048417 — ALBERT H KIM M.D., PH.D
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1740700376 — DR. MOHAMMED ZAAHID SHERIFF MD
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10701 EAST BLVD
CLEVELAND, OH
44106-1702
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Practice Fax:
1003762188 — ZOE ROBERS
Practice Location Address:
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CLEVELAND, OH
44106-1702
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1154277283 — GABRIELA GIANNUZZI
Practice Location Address:
10701 EAST BLVD
CLEVELAND, OH
44106-1702
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Practice Fax:
1598611634 — MACKENZIE HUNT DMD
Practice Location Address:
10701 EAST BLVD
CLEVELAND, OH
44106-1702
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Practice Fax:

Directions to “ MAI TRIEU DO” Practice Location

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