Provider Demographics
NPI:1619382652
Name:KEETHA, NARSIMHA (MD)
Entity type:Individual
Prefix:
First Name:NARSIMHA
Middle Name:
Last Name:KEETHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:21245 LORAIN RD STE 206
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW PARK
Mailing Address - State:OH
Mailing Address - Zip Code:44126-2140
Mailing Address - Country:US
Mailing Address - Phone:440-331-4294
Mailing Address - Fax:440-331-4399
Practice Address - Street 1:7255 OLD OAK BLVD STE C111
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130-3300
Practice Address - Country:US
Practice Address - Phone:440-403-9990
Practice Address - Fax:440-403-9488
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-28
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.136781207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine