Provider Demographics
NPI:1861660516
Name:ORI KUSHNIR MD OBGYN LLC
Entity Type:Organization
Organization Name:ORI KUSHNIR MD OBGYN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD, PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:ORI
Authorized Official - Middle Name:
Authorized Official - Last Name:KUSHNIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-287-7417
Mailing Address - Street 1:25701 N LAKELAND BLVD
Mailing Address - Street 2:STE #302
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44132-2452
Mailing Address - Country:US
Mailing Address - Phone:440-461-2421
Mailing Address - Fax:216-417-2912
Practice Address - Street 1:25701 N LAKELAND BLVD
Practice Address - Street 2:STE #302
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-2452
Practice Address - Country:US
Practice Address - Phone:440-461-2421
Practice Address - Fax:216-417-2912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2811390Medicaid