Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 35-070258 | OH |
NPI | 1699795682 |
---|---|
Provider Name | Daniel I Craven |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 30/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000026879 | ANTHEM (01) | OH |
000000221008 | UNISON (01) | OH |
000000525892 | ANTHEM (01) | OH |
0019392970001 | PA MEDICAID (01) | PA |
0273841 | (05) | OH |
0273841 | BCMH (01) | OH |
1699795682 | (05) | MI |
2326721 | AETNA (01) | OH |
363448 | WELLCARE (01) | OH |
725084 | BUCKEYE (01) | OH |
G35922 | (02) | OH |