Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 35063541P | OH |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 35063541P | OH |
NPI | 1669417770 |
---|---|
Provider Name | Marie Fidela Paraiso |
First Address | Independence, OH 44131-2139 |
Second Address | Cleveland, OH 44195-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2006 |
Last Update Date | 12/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0108305 | (05) | OH |
F95243 | (02) | OH |