Provider Demographics
NPI:1235203373
Name:CABRAL, LINDA SULLIVAN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:SULLIVAN
Last Name:CABRAL
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:11100 EUCLID AVENUE
Mailing Address - Street 2:UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106
Mailing Address - Country:US
Mailing Address - Phone:216-844-3345
Mailing Address - Fax:216-844-5431
Practice Address - Street 1:11100 EUCLID AVENUE
Practice Address - Street 2:UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106
Practice Address - Country:US
Practice Address - Phone:216-844-3345
Practice Address - Fax:216-844-5431
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2016-11-23
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Provider Licenses
StateLicense IDTaxonomies
OH50.000700363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0072899Medicaid
OHH048710Medicare PIN