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NPI Code Detail

MEDICARE: RICHARD UNGVARSKY MD

MEDICARE: RICHARD UNGVARSKY 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
1208600000XSurgery Physician35-05-4595-UOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861492142
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD UNGVARSKY MD
Provider Business Mailing Address
First Line : PO BOX 931591
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-1719
Country : US
Telephone Number : 440-743-4281
Fax Number :
Provider Business Practice Location Address
First Line : 6707 POWERS BLVD STE 100
Second Line :
City : PARMA
State : OH
Zip : 44129-5463
Country : US
Telephone Number : 740-743-4034
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 01/12/2021

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Directions to “ RICHARD UNGVARSKY MD” Practice Location

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