Provider Demographics
NPI:1114344124
Name:PRERO, MOSHE YAAKOV (MD)
Entity Type:Individual
Prefix:DR
First Name:MOSHE
Middle Name:YAAKOV
Last Name:PRERO
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 1:11100 EUCLID AVENUE RB&C, SUITE 838
Mailing Address - Street 2:UH RAINBOW BABIES AND CHILDREN'S HOSPITAL
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106
Mailing Address - Country:US
Mailing Address - Phone:216-844-3267
Mailing Address - Fax:
Practice Address - Street 1:11100 EUCLID AVE STE 838
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-3267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-27
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program