ELISHA TZVI FREDMAN MD NPI 1740600022

NPI Information

Elisha Tzvi Fredman, MD is a student in an organized health care education training program in Ravenna, OH. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Elisha Tzvi Fredman, MD NPI is 1740600022. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13207 CHARDON ROAD
RAVENNA, OH
ZIP 44024
Phone: (440) 285-6740

The NPI 1740600022 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/24/2014 and was last updated on 5/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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