Provider Demographics
NPI:1033394614
Name:LOUIS STOKES CLEVELAND VA MEDICAL CENTER
Entity Type:Organization
Organization Name:LOUIS STOKES CLEVELAND VA MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF RADIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:R
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-791-3800
Mailing Address - Street 1:27030 CEDAR RD APT 1212
Mailing Address - Street 2:THE HAMPTONS
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-1195
Mailing Address - Country:US
Mailing Address - Phone:216-791-3800
Mailing Address - Fax:216-707-5988
Practice Address - Street 1:27030 CEDAR RD APT 1212
Practice Address - Street 2:THE HAMPTONS
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-1195
Practice Address - Country:US
Practice Address - Phone:216-791-3800
Practice Address - Fax:216-707-5988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01062529A284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital