Provider Demographics
NPI:1215542295
Name:DOUBRAVA, KAREN
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:DOUBRAVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2341 DENTZLER RD
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-5422
Mailing Address - Country:US
Mailing Address - Phone:216-409-0062
Mailing Address - Fax:
Practice Address - Street 1:2341 DENTZLER RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-5422
Practice Address - Country:US
Practice Address - Phone:216-409-0062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care