Provider Demographics
NPI:1487750477
Name:TURC, MARINELA L (MD)
Entity type:Individual
Prefix:DR
First Name:MARINELA
Middle Name:L
Last Name:TURC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARINELA
Other - Middle Name:L
Other - Last Name:TURC CONVERY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:36001 EUCLID AVE STE B11
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-4651
Mailing Address - Country:US
Mailing Address - Phone:440-953-3979
Mailing Address - Fax:440-953-2915
Practice Address - Street 1:36100 EUCLID AVE STE 290
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-4476
Practice Address - Country:US
Practice Address - Phone:440-953-3979
Practice Address - Fax:440-953-2915
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35076044207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2138136Medicaid
OHH03158Medicare UPIN
OH2138136Medicaid