Provider Demographics
NPI:1194810432
Name:IGNAT, GHEORGHE P (MD)
Entity type:Individual
Prefix:
First Name:GHEORGHE
Middle Name:P
Last Name:IGNAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18660 BAGLEY RD STE 1O2B
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3483
Mailing Address - Country:US
Mailing Address - Phone:440-891-9395
Mailing Address - Fax:449-891-1765
Practice Address - Street 1:18660 BAGLEY RD STE 1O2B
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130-3483
Practice Address - Country:US
Practice Address - Phone:440-891-9395
Practice Address - Fax:440-891-1765
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-073505207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3154947Medicaid
AZZ101664Medicare PIN
OHH004570Medicare PIN
CAWA88420BMedicare PIN
OH3154947Medicaid