Basic Information
| Provider Information | |||||||||
| NPI: | 1851551733 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | METROHEALTH MEDICAL CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3307 SCRANTON RD | ||||||||
| Address2: | APARTMENT 305 | ||||||||
| City: | CLEVELAND | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441091647 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2167782222 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2500 METROHEALTH DR | ||||||||
| Address2: | METROHEALTH MEDICAL CENTER | ||||||||
| City: | CLEVELAND | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441091900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2167787800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2008 | ||||||||
| LastUpdateDate: | 06/13/2008 | ||||||||
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| AuthorizedOfficialLastName: | BHAT | ||||||||
| AuthorizedOfficialFirstName: | DEEPTI | ||||||||
| AuthorizedOfficialMiddleName: | PAGARE | ||||||||
| AuthorizedOfficialTitleorPosition: | RESIDENT, PEDIATRICS | ||||||||
| AuthorizedOfficialTelephone: | 2167782222 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282NC2000X | 57-014210 | OH | Y | Hospitals | General Acute Care Hospital | Children |
No ID Information.