Provider Demographics
NPI:1417028556
Name:BEN-MEIR, AVIV (MD)
Entity Type:Individual
Prefix:
First Name:AVIV
Middle Name:
Last Name:BEN-MEIR
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 1:7590 AUBURN ROAD
Mailing Address - Street 2:SUITE 014
Mailing Address - City:CONCORD TWP
Mailing Address - State:OH
Mailing Address - Zip Code:44077-9176
Mailing Address - Country:US
Mailing Address - Phone:440-354-1899
Mailing Address - Fax:440-354-1845
Practice Address - Street 1:36100 EUCLID AVE STE 170
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-4475
Practice Address - Country:US
Practice Address - Phone:440-602-6737
Practice Address - Fax:440-942-0316
Is Sole Proprietor?:No
Enumeration Date:2006-11-12
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35073480B208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2500314Medicaid
OHH227050OtherMEDICARE
OH2500314Medicaid