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NPI Code Detail

MEDICARE: GALENA BELYAEVA

MEDICARE: GALENA BELYAEVA
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1902397573
Entity Type Code : Individual
Provider Name (Legal Business Name) : GALENA BELYAEVA
Provider Business Mailing Address
First Line : 20600 CHAGRIN BLVD STE 620
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5340
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20600 CHAGRIN BLVD STE 620
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5340
Country : US
Telephone Number : 216-751-5010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2018
Last Update Date : 05/19/2018

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Directions to “ GALENA BELYAEVA ” Practice Location

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