Provider Demographics
NPI:1700993508
Name:MARSHALL, SYLVIA F (MD)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:F
Last Name:MARSHALL
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 1:9700 GARFIELD BLVD
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-1440
Mailing Address - Country:US
Mailing Address - Phone:216-441-3223
Mailing Address - Fax:216-441-3268
Practice Address - Street 1:9700 GARFIELD BLVD
Practice Address - Street 2:
Practice Address - City:GARFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44125-1440
Practice Address - Country:US
Practice Address - Phone:216-441-3223
Practice Address - Fax:216-441-3268
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH045576207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0440811Medicaid
OHMA0485311Medicare ID - Type Unspecified
OHMA1396499Medicare UPIN