Provider Demographics
NPI:1710423082
Name:DAVID J NAAR MD LLC
Entity Type:Organization
Organization Name:DAVID J NAAR MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:NAAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-410-3725
Mailing Address - Street 1:PO BOX 241366
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-8366
Mailing Address - Country:US
Mailing Address - Phone:440-641-0433
Mailing Address - Fax:440-455-9610
Practice Address - Street 1:24700 CENTER RIDGE RD STE 370
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5636
Practice Address - Country:US
Practice Address - Phone:440-641-0433
Practice Address - Fax:440-455-9610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0958232086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
I10962Medicare UPIN