Provider Demographics
NPI:1255827556
Name:BERNFELD, EVA CHAVA MAXIM (MD)
Entity type:Individual
Prefix:
First Name:EVA CHAVA
Middle Name:MAXIM
Last Name:BERNFELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EVA-CHAVA
Other - Middle Name:MAXIME
Other - Last Name:BERNFELD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-2229
Mailing Address - Fax:
Practice Address - Street 1:CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-1009
Practice Address - Country:US
Practice Address - Phone:216-444-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-10
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.141642390200000X
IAR-12670390200000X, 2084N0402X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program