MEDICARE: DR. MIRELA ROXANA ROSSI M.D.

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	207R00000X	Internal Medicine Physician	35082856R	OH

General Provider Information

NPI Number	:	1932194768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MIRELA ROXANA ROSSI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 638269
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-8269
Country	:	US
Telephone Number	:	440-816-2360
Fax Number	:

Provider Business Practice Location Address
First Line	:	18660 BAGLEY RD STE 401
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44130-3483
Country	:	US
Telephone Number	:	440-816-2360
Fax Number	:

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

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	01/19/2021

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