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Dr. David Ly, MD
Radiation Oncology Physician in Ravenna, Ohio
NPI 1477879864

David Ly is a Radiation Oncology Physician based in Highland Hills, OH and is specialized in Radiation Oncology. David Ly practices in Ravenna, OH and has the professional credentials of MD. The NPI Number for David Ly is 1477879864 and holds a License No. 51021 (Ohio).

The current practice location address for David Ly is 6847 N Chestnut St, Ravenna, OH and can be reached out via phone at 330-235-7081 and via fax at 216-201-6387.

Location: 6847 N Chestnut St, Ravenna, OH, 44122-7250
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477879864
Provider Name
David Ly
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6847 N Chestnut St, Ravenna, OH, 44122-7250
Phone Number
330-235-7081
Fax Number
216-201-6387
Provider Enumeration Date
04/12/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01536506 01 AZ RAILROAD MEDICARE
QZZ000000061638 01 AZ MERCY CARE
3495287 01 AZ CIGNA
041529 05 AZ
7140968 01 AZ AETNA
institution
Provider Business Practice Location Address Details
Address
6847 N Chestnut St
City
Ravenna
State
Ohio
Zip
44266-3929
Phone Number
330-235-7081
Fax Number
216-201-6387
person
Provider Business Mailing Address Details
Address
6847 N Chestnut St
City
Ravenna
State
Ohio
Zip
44266-3929
Phone Number
330-235-7081
Fax Number
216-201-6387
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
()
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
51021 (Arizona)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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