Basic Information
| Provider Information | |||||||||
| NPI: | 1851566590 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | IOVI | ||||||||
| FirstName: | MIHAELA | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16600 W SPRAGUE RD STE 120 | ||||||||
| Address2: | |||||||||
| City: | MIDDLEBURG HEIGHTS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441306300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4408260500 | ||||||||
| FaxNumber: | 4408260501 | ||||||||
| Practice Location | |||||||||
| Address1: | 16600 W SPRAGUE RD STE 120 | ||||||||
| Address2: | |||||||||
| City: | MIDDLEBURG HEIGHTS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441306300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4408260500 | ||||||||
| FaxNumber: | 4408260501 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/24/2008 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 35.091032 | OH | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1003849910 | 01 | OH | LODI COMMUNITY CARE CENTER TYPE 2 NPI # | OTHER | 1801807870 | 01 | OH | LODI COMMUNITY HOSPITAL TYPE 2 NPI # | OTHER | 2869043 | 05 | OH | MEDICAID | 2396081 | 01 | OH | LODI COMMUNITY HOSPITAL GROUP MEDICAID # | OTHER | 3613031 | 01 | OH | LODI COMMUNITY HOSPITAL GROUP MEDICARE # | OTHER |