Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 245462 | NY |
N | 208600000X | Surgeon | 245462 | NY |
Y | 2086S0102X | Surgical Critical Care | 35.125230 | OH |
NPI | 1003065673 |
---|---|
Provider Name | Dr. Vanessa Phillis Ho |
First Address | Cleveland, OH 44109-1900 |
Second Address | Cleveland, OH 44109-1900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2008 |
Last Update Date | 27/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0113623 | (05) | OH |
35.125230 | LICENSE (01) | OH |