Patrick Fagan
Psychiatry & Neurology, Neurology in Cleveland, OH. Individual provider (NPI-1).
NPI number1124522271
StatusActive
Last updated in NPPESFeb 27, 2023
Details
- NPI
- 1124522271
- Entity type
- Individual (NPI-1)
- Name
- Patrick Fagan
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2018
- Certification date
- Feb 27, 2023
- Last updated
- Feb 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 35.145643 | OH | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
11100 Euclid AveCleveland, OH 44106-1716
Phone 440-844-1000
Mailing address
11100 Euclid AveCleveland, OH 44106-1716
Phone 440-844-1000
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