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4804 Pearl Rd Cleveland OH 44109-5144 | |
| (440) 582-1597 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 4804 Pearl Rd, Cleveland, Ohio |
| Authorized Official Name and Position | Kuldeep Singh (OWNER, PRESIDENT) |
| Authorized Official Contact | 4405821597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
339 Village Dr Broadview Hts OH 44147-3474 Ph: (440) 582-1597 | 4804 Pearl Rd Cleveland OH 44109-5144 Ph: (440) 582-1597 |
| NPI Number | 1669704094 |
|---|---|
| Provider Enumeration Date | 02/10/2010 |
| Last Update Date | 02/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669704094 | NPI | - | NPPES |
| 0322912 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 35-100208 (Ohio) | Primary |
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