Individual provider · NPI-1
Charles Richardson Cowap, M.D.
Emergency Medicine · Lakewood, OH
NPI number1265489926
StatusActive
Last updated in NPPESMay 7, 2008
Details
- NPI
- 1265489926
- Entity type
- Individual (NPI-1)
- Name
- Charles Richardson Cowap
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 28, 2006
- Last updated
- May 7, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 35081096C | OH | Yes |
| 207Q00000X | Family Medicine | 35081096 | OH |
Practice location
14519 Detroit AveLakewood, OH 44107-4316
Phone 216-521-4200
Mailing address
16616 Aldersyde DrShaker Hts, OH 44120-2514
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