Provider Demographics
NPI:1164270138
Name:CYVAS, TOMAS JULIUS
Entity type:Individual
Prefix:
First Name:TOMAS
Middle Name:JULIUS
Last Name:CYVAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:898 TALMADGE AVE
Mailing Address - Street 2:
Mailing Address - City:WICKLIFFE
Mailing Address - State:OH
Mailing Address - Zip Code:44092-2134
Mailing Address - Country:US
Mailing Address - Phone:630-209-8520
Mailing Address - Fax:
Practice Address - Street 1:898 TALMADGE AVE
Practice Address - Street 2:
Practice Address - City:WICKLIFFE
Practice Address - State:OH
Practice Address - Zip Code:44092-2134
Practice Address - Country:US
Practice Address - Phone:630-209-8520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH485015163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse