Provider Demographics
NPI:1134452881
Name:CAYAYAN, NINFA DIESCA (MD)
Entity type:Individual
Prefix:DR
First Name:NINFA
Middle Name:DIESCA
Last Name:CAYAYAN
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 1:2435 ELMDALE RD
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-4646
Mailing Address - Country:US
Mailing Address - Phone:216-373-6605
Mailing Address - Fax:216-373-6605
Practice Address - Street 1:2435 ELMDALE RD
Practice Address - Street 2:
Practice Address - City:UNIVERSITY HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-4646
Practice Address - Country:US
Practice Address - Phone:216-373-6605
Practice Address - Fax:216-373-6605
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-14
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35044220208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice