Sophia Rebecca Balderman
Internist Hematologist
9500 Euclid Ave
Cleveland
, Ohio 44195-0001
Sophia Rebecca Balderman
Internist Hematologist
9500 Euclid Ave
Cleveland
, Ohio 44195-0001
(216) 444-5679
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About
Features
Specialties
- Internist
- Hematologist
Languages spoken
- English
Location
First Address
- Sophia Rebecca Balderman
- 9500 Euclid Ave
- Cleveland, OH
- Zip : 44195-0001
- Fax : (216) 444-5679
- Phone : (216) 444-7923
Second Address
- Sophia Rebecca Balderman
- 9500 Euclid Ave
- Cleveland, OH
- Zip : 44195-0001
- Fax : (716) 845-1759
- Phone : (716) 845-2300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 254222 | NY |
| N | 111NI0900X | Internist | 254222 | NY |
| Y | 207RH0000X | Hematologist | 254222 | NY |
National Provider Identifier
| NPI | 1104098607 |
|---|---|
| Provider Name | Sophia Rebecca Balderman |
| First Address | Cleveland, OH 44195-0001 |
| Second Address | Cleveland, OH 44195-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/03/2008 |
| Last Update Date | 17/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 03616828 | (05) | 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.