Alan E Kravitz MD Inc
Organization Active NPI Internal Medicine Physician · Lyndhurst, OH
NPI 1922112952 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1922112952
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 35-038909 (OH)
- Legal business name
- ALAN E KRAVITZ MD INC
- Practice address
- 29001 Cedar Rd
#615
Lyndhurst, OH 44124-4062 - Phone
- (440) 995-4000
- Fax
- (440) 995-4023
- NPI assigned
- Aug 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Alan E Kravitz IV, MD
- Title
- President
- Phone
- (440) 995-4000
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 35-038909 | OH | Yes |
Addresses
Primary practice location
29001 Cedar Rd
#615
Lyndhurst, OH 44124-4062
Mailing address
29001 Cedar Rd
#615
Lyndhurst, OH 44124-4062
Phone (440) 995-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000128649 | Other | OH | ANTHEM PROVIDER# |
| 142321733001 | Other | OH | MEDICAL MUTUAL PROVIDER# |
| 35-035909 | Other | OH | MEDICAL LICENSE # |
| 0298549 | Medicaid | OH |
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All providers in Lyndhurst, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.