Provider Demographics
NPI:1760457477
Name:NAAR, DAVID J (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:NAAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JULIO
Other - Middle Name:DAVID
Other - Last Name:NAAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
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:440-331-4878
Practice Address - Fax:440-331-3790
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0958232086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3080900Medicaid
I10962Medicare UPIN
OH3080900Medicaid