Organization · NPI-2

Lakeshore Heart, INC.

Internal Medicine · Rocky River, OH

NPI number1295923001
StatusActive
Last updated in NPPESOct 5, 2007

Details

NPI
1295923001
Entity type
Organization (NPI-2)
Legal business name
Lakeshore Heart, INC.
Organization subpart
No
Enumeration date
Oct 5, 2007
Last updated
Oct 5, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine43292OHYes

Practice location

21851 Center Ridge Rd
Suite 200
Rocky River, OH 44116-3976

Phone 440-333-0060 · Fax 440-333-0065

Mailing address

21851 Center Ridge Rd
Suite 200
Rocky River, OH 44116-3976

Phone 440-333-0060 · Fax 440-333-0065

Authorized official

Ramesh J Brahmbhatt
Physician
4403330060

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