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NPI Code Detail

MEDICARE: UNIVERSITY HOSPITALS MEDICAL GROUP INC

MEDICARE: UNIVERSITY HOSPITALS MEDICAL GROUP INC
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
1207Y00000XOtolaryngology Physician
2207L00000XAnesthesiology Physician
3207N00000XDermatology Physician
4207P00000XEmergency Medicine Physician
5207SG0201XClinical Genetics (M.D.) Physician
6207T00000XNeurological Surgery Physician
7207V00000XObstetrics & Gynecology Physician
8207W00000XOphthalmology Physician
9207X00000XOrthopaedic Surgery Physician
10207ZP0102XAnatomic Pathology & Clinical Pathology Physician
11208000000XPediatrics Physician
122084N0400XNeurology Physician
132085R0202XDiagnostic Radiology Physician
14208600000XSurgery Physician
15261QM1300XMulti-Specialty Clinic/Center

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2DF2958OTHEROHRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1669499414
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY HOSPITALS MEDICAL GROUP INC
Provider Business Mailing Address
First Line : PO BOX 772928
Second Line :
City : DETROIT
State : MI
Zip : 48277-2937
Country : US
Telephone Number : 800-589-6006
Fax Number :
Provider Business Practice Location Address
First Line : 11100 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number : 216-844-1000
Fax Number :
Authorized Official
Title or Position : PRESIDENT, UH PHYSICIAN SERVICES
Name : CLIFF MEGERIAN
Credential : MD
Telephone Number : 216-844-5500
Provider Enumeration Date : 07/17/2006
Last Update Date : 03/04/2025

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Directions to “UNIVERSITY HOSPITALS MEDICAL GROUP INC ” Practice Location

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