MEDICARE: CYNTHIA ZELIS 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
1	207Q00000X	Family Medicine Physician	35-07-3347-R	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	CG4360	OTHER	OH	RAILROAD MEDICARE GROUP
6	P00247248	OTHER	OH	RAILROAD MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	86725	OTHER	OH	QUAL CHOICE
2	000000368592	OTHER	OH	ANTHEM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801873997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA ZELIS MD

Provider Business Mailing Address
First Line	:	PO BOX 30551
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44130-0551
Country	:	US
Telephone Number	:	440-816-6428
Fax Number	:	440-816-6438

Provider Business Practice Location Address
First Line	:	18181 PEARL RD
Second Line	:	A206
City	:	STRONGSVILLE
State	:	OH
Zip	:	44136-6949
Country	:	US
Telephone Number	:	440-816-4980
Fax Number	:

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

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	06/29/2011

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Directions to “ CYNTHIA ZELIS MD” Practice Location

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