| Chenguttai Manohar, MD | |
|
701 N Lake St Ste 101, Madison, OH 44057-3152 | |
| (216) 383-0100 | |
| (216) 383-6481 |
| Full Name | Chenguttai Manohar |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 701 N Lake St Ste 101, Madison, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194805374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35073921M (Ohio) | Primary |
| Entity Name | University Hospitals Regional Practices LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336602218 PECOS PAC ID: 3779818638 Enrollment ID: O20190715001865 |
| Mailing Address | Practice Location Address |
|---|---|
| Chenguttai Manohar, MD Po Box 92937, Cleveland, OH 44194-2937 Ph: (440) 428-7511 | Chenguttai Manohar, MD 701 N Lake St Ste 101, Madison, OH 44057-3152 Ph: (216) 383-0100 |
Dr. Manoochehr Meshginpoosh, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5856 Chapel Rd, Madison, OH 44057 Phone: 440-428-1800 |
Josephine Mikhail, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 N Lake St Ste 102, Madison, OH 44057 Phone: 440-428-1106 Fax: 440-428-8697 |