Individual provider · NPI-1

Dr. Sanathan Aiyadurai, MD

Family Medicine · Cleveland, OH

NPI number1194402883
StatusActive
Last updated in NPPESJul 3, 2023

Details

NPI
1194402883
Entity type
Individual (NPI-1)
Name
Dr. Sanathan Aiyadurai
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 3, 2023
Certification date
Jul 3, 2023
Last updated
Jul 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine57.255206OHYes

Practice location

2500 Metrohealth Dr
Cleveland, OH 44109-1900

Phone 216-778-7800

Mailing address

14475 E Carroll Blvd
Cleveland, OH 44118-4666

Phone 832-835-8355

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