Individual provider · NPI-1

Dr. Prakash Rufus Ganesh, M.D.

Family Medicine · Cleveland, OH

NPI number1154680924
StatusActive
Last updated in NPPESMay 6, 2026

Details

NPI
1154680924
Entity type
Individual (NPI-1)
Name
Dr. Prakash Rufus Ganesh
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 14, 2012
Certification date
May 6, 2026
Last updated
May 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine35.127085OHYes
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine35127085OH

Practice location

Neighborhood Family Practice
3569 Ridge Road
Cleveland, OH 44102

Phone 216-281-0872

Mailing address

3569 Ridge Rd
Cleveland, OH 44102-5443

Phone 216-281-0872 · Fax 216-961-5429

Other practice locations

5550 Venture Dr
Parma, OH 44130-9315

Phone 216-201-2001 · Fax 216-676-1311

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