Provider Demographics
NPI:1982779088
Name:KRAVANYA, MARGARET A
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:A
Last Name:KRAVANYA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:A
Other - Last Name:KRAVANYA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34001958207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0184131OtherUHC
OH0361181Medicare ID - Type Unspecified
OHA73448Medicare UPIN