Provider Demographics
NPI:1427258961
Name:CASE WESTERN UNIVERSITY
Entity type:Organization
Organization Name:CASE WESTERN UNIVERSITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D., PH.D., RESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SIYAMEK
Authorized Official - Middle Name:
Authorized Official - Last Name:NERAGI-MIANDOAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-844-1000
Mailing Address - Street 1:11000 EUCLID AVE
Mailing Address - Street 2:LKS BLDG, 7901
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11000 EUCLID AVE
Practice Address - Street 2:LSK BLDG 7901
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1714
Practice Address - Country:US
Practice Address - Phone:617-935-2782
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital