Provider Demographics
NPI:1730150269
Name:KHOT, UMESH N (MD)
Entity type:Individual
Prefix:DR
First Name:UMESH
Middle Name:N
Last Name:KHOT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVENUE
Mailing Address - Street 2:J2-4
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195
Mailing Address - Country:US
Mailing Address - Phone:216-445-4440
Mailing Address - Fax:216-636-6973
Practice Address - Street 1:9500 EUCLID AVENUE
Practice Address - Street 2:J2-4
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195
Practice Address - Country:US
Practice Address - Phone:216-445-4440
Practice Address - Fax:216-636-6973
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01056860A207RC0000X
OH35-078337207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2249874Medicaid
IN200399060AMedicaid
OH2249874Medicaid
IN117700OOMedicare PIN
IN110247376Medicare PIN
H38198Medicare UPIN