Provider Demographics
NPI:1952673923
Name:MARGARET A. KRAVANYA, D.O., INC.
Entity Type:Organization
Organization Name:MARGARET A. KRAVANYA, D.O., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:A
Authorized Official - Last Name:KRAVANYA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:216-464-1100
Mailing Address - Street 1:24300 CHAGRIN BLVD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5639
Mailing Address - Country:US
Mailing Address - Phone:216-464-1100
Mailing Address - Fax:216-464-2509
Practice Address - Street 1:24300 CHAGRIN BLVD
Practice Address - Street 2:SUITE 206
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5639
Practice Address - Country:US
Practice Address - Phone:216-464-1100
Practice Address - Fax:216-464-2509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-06
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34 001958208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0361181OtherPTAN
0361181OtherPTAN