Stephanus Eric Haryadi, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174902498

Stephanus Eric Haryadi, MD is an Internal Medicine in Orwell, Ohio. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 2015, 11 years ago. Practices with The Metrohealth System, a 1,163-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying: 11
Trained at: Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in: OH
In the registry since: 2015
Specialties on file: 2

What do these letters mean?

MD — Doctor of Medicine: A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Orwell, OH

No coordinates on file. Search this address in Google Maps

Specialties & licences

Internal Medicine Physician (primary)	Taxonomy 207R00000X · Licence 35.135310 (OH)
Student in an Organized Health Care Education/Training Program	Taxonomy 390200000X

Record details

NPI number	1174902498
Entity type	Individual (Type 1)
Gender	Male
Credentials	MD
Sole proprietor	No
NPI enumerated	May 19, 2015
Last updated in NPPES	February 3, 2021
Certification date	February 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	INTERNAL MEDICINE
Medical school	CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated	2015 (11 years in practice)
Group practice	The Metrohealth System — 1163 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount