Daniel S. Kassavin
Vascular Surgeon
Medina Medical Office Building / South 970 E Washington St Ste 4b
Medina
, Ohio 44256-2181
Daniel S. Kassavin
Vascular Surgeon
Medina Medical Office Building / South 970 E Washington St Ste 4b
Medina
, Ohio 44256-2181
(716) 704-3301
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Daniel S. Kassavin
- 2330 Euclid Heights Blvd Apt 306
- Cleveland, OH
- Zip : 44106-2728
- Phone : (716) 704-3301
Second Address
- Daniel S. Kassavin
- Medina Medical Office Building / South 970 E Washington St Ste 4b
- Medina, OH
- Zip : 44256-2181
- Fax : (330) 721-5287
- Phone : (330) 721-5700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 35.127258 | OH |
National Provider Identifier
| NPI | 1144428103 |
|---|---|
| Provider Name | Daniel S. Kassavin |
| First Address | Cleveland, OH 44106-2728 |
| Second Address | Medina, OH 44256-2181 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2007 |
| Last Update Date | 19/08/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| J400105035 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.