Basic Information
| Provider Information | |||||||||
| NPI: | 1568606085 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NEPAL | ||||||||
| FirstName: | PRAMOD | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2910 CHAMBERLIN BLVD | ||||||||
| Address2: | |||||||||
| City: | HUDSON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44236 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2166885095 | ||||||||
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| Practice Location | |||||||||
| Address1: | 13951 TERRACE ROAD | ||||||||
| Address2: | |||||||||
| City: | EAST CLEVELAND | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44112 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2167613300 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/28/2009 | ||||||||
| LastUpdateDate: | 08/13/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/13/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207R00000X | 35.098538 | OH | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.