Doctor Name: | VANESSA URBINA |
NPI Number: | 1396999447 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 35120650 |
Business Practice Address: | 30680 Bainbridge Rd Cleveland, OH - 441392282 |
Business Phone Number: | 4405425000 |
Business Fax Number: | |
Mailing Address: | 30680 Bainbridge Rd, CLEVELAND |
State: | OH |
Postal Code: | 441392282 |
Phone Number: | 4405425000 |
Fax Number: | |
NPI Enumeration Date: | 11/14/2008 |
NPI Last Update Date: | 09/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35120650 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |