Kezele, Gregory Paul
Kezele, Gregory Paul is an individual health care provider with primary practice located at 3737 Park East Dr Ste 109 , Beachwood OH 44122-4329. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Phlebology. Allopathic & Osteopathic Physicians / Phlebology is his primary health care specialty. Kezele, Gregory Paul can be contacted via phone (216) 464-7333.Contact Information
Primary practice address
3737 Park East Dr Ste 109
Beachwood OH 44122-4329
Phone: (216) 464-7333
Fax: (216) 464-2696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35-057308 | Ohio |
| Allopathic & Osteopathic Physicians / Phlebology | 202K00000X | 35057308 | Ohio |
Profile Details
| NPI number | 1972563997 |
|---|---|
| LBN Legal business name | Kezele, Gregory Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Oct 30th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972563997 | NPPES |
| Ohio | Other | 000000339410 | ANTHEM |
| Ohio | MEDICAID | 2255705 | ANTHEM |
| Ohio | Other | 80507 | ANTHEM |
| Ohio | Other | 9379701 | ANTHEM |
| Ohio | Other | DO6570 | ANTHEM |
| Ohio | Other | 264200000 | ANTHEM |
| Ohio | Other | H152671 | ANTHEM |
| Ohio | Other | P01371818 | ANTHEM |
| Ohio | Other | 264200000 | ANTHEM |
| Ohio | Other | 341425870042 | ANTHEM |
| Ohio | Other | 6600162 | ANTHEM |
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