Individual provider · NPI-1

Joel David, DO

Internal Medicine · South Euclid, OH

NPI number1942560222
StatusActive
Last updated in NPPESDec 9, 2023

Details

NPI
1942560222
Entity type
Individual (NPI-1)
Name
Joel David
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
May 21, 2012
Certification date
Dec 9, 2023
Last updated
Dec 9, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine34.011415OHYes

Practice location

1611 S Green Rd Ste 160
South Euclid, OH 44121-6100

Phone 216-297-2084

Mailing address

Po Box 772928
Detroit, MI 48277-2928

Phone 216-383-0100

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine providers in South Euclid, OH