Provider Demographics
NPI:1932129129
Name:VRABEL, CYNTHIA S (MD)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:S
Last Name:VRABEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1744 PAYNE AVE
Mailing Address - Street 2:FRONTLINE SERVICE
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114
Mailing Address - Country:US
Mailing Address - Phone:216-274-3514
Mailing Address - Fax:216-274-3500
Practice Address - Street 1:1744 PAYNE AVE
Practice Address - Street 2:FRONTLINE SERVICE
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114
Practice Address - Country:US
Practice Address - Phone:216-274-3514
Practice Address - Fax:216-274-3500
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0675052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0248922Medicaid
OH000000532992OtherANTHEM
OH260032560OtherRAILROAD MEDICARE
OH7125668OtherAETNA
OH0248922Medicaid
OH000000532992OtherANTHEM
OHVR0816792Medicare ID - Type Unspecified