Provider Demographics
NPI:1629210299
Name:TEBA, CATALINA VILLANNA (MD)
Entity Type:Individual
Prefix:DR
First Name:CATALINA
Middle Name:VILLANNA
Last Name:TEBA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11100 EUCLID AVE BOLWELL 6TH FLOOR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-1716
Mailing Address - Country:US
Mailing Address - Phone:216-844-3201
Mailing Address - Fax:216-844-3226
Practice Address - Street 1:11100 EUCLID AVE BOLWELL 6TH FLOOR
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:216-844-3201
Practice Address - Fax:216-844-3226
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-29
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09178400207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine