Provider Demographics
NPI:1053027342
Name:GAIA, PAULETTE KADIS
Entity type:Individual
Prefix:
First Name:PAULETTE
Middle Name:KADIS
Last Name:GAIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PAULETTE
Other - Middle Name:
Other - Last Name:KADIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12958 WOODSIDE DR S
Mailing Address - Street 2:
Mailing Address - City:CHESTERLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44026-3051
Mailing Address - Country:US
Mailing Address - Phone:440-781-8123
Mailing Address - Fax:
Practice Address - Street 1:12958 WOODSIDE DR S
Practice Address - Street 2:
Practice Address - City:CHESTERLAND
Practice Address - State:OH
Practice Address - Zip Code:44026-3051
Practice Address - Country:US
Practice Address - Phone:440-781-8123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle