| Suresh K. Mahajan M.d. Inc. | |
|
7255 Old Oak Blvd C101 Cleveland OH 44130-3329 | |
| (440) 816-2789 | |
| (440) 816-2811 |
| Full Name | Suresh K. Mahajan M.d. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 7255 Old Oak Blvd, Cleveland, Ohio |
| Authorized Official Name and Position | Suresh K Mahajan (OWNER) |
| Authorized Official Contact | 4408162789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suresh K. Mahajan M.d. Inc. 7255 Old Oak Blvd C101 Cleveland OH 44130-3329 Ph: (440) 816-2789 | Suresh K. Mahajan M.d. Inc. 7255 Old Oak Blvd C101 Cleveland OH 44130-3329 Ph: (440) 816-2789 |
| NPI Number | 1750464863 |
|---|---|
| Provider Enumeration Date | 10/23/2006 |
| Last Update Date | 08/06/2009 |
| Medicare PECOS PAC ID | 4284615824 |
|---|---|
| Medicare Enrollment ID | O20040528000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750464863 | NPI | - | NPPES |
| 0198263 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 35-05-8230-M (Ohio) | Primary |
| Provider Name | Suresh Kumar Mahajan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003908047 PECOS PAC ID: 0749261394 Enrollment ID: I20040601000006 |
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