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Contact Information

MARIEL A HARRIS, MD
ONE DAVID N MYERS PARKWAY
BEACHWOOD, OH44122
 Phone: 216-910-2641
 Fax: 216-910-2777
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARIEL A HARRIS · (Female)

NPI Number 1588871875
Status Active
Credentials MD
Entity Individual
Enumeration date 05/17/2007
Last updated 01/21/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 22992
  • OH License # 33055569
  • OH License # 35-055569
  • OH Medicaid 0679663
  • OH Other 4320316 AETNA #
  • OH Other 000000537785 ANTHEM #
  • OH Other 751150 BUCKEYE #
  • OH Other P00432289 RAILROAD MEDICARE
  • OH Other 000000225049 UNISON #
  • OH Other 414975 WELLCARE #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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