Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 35083481N | OH |
Y | 111NI0900X | Internist | 35083481N | OH |
N | 207RA0401X | Internist - Addiction Medicine | 35083481 | OH |
NPI | 1790770568 |
---|---|
Provider Name | Dr. Corattur Natesa Natesan |
First Address | Richmond Heights, OH 44143-2704 |
Second Address | Cleveland, OH 44104-3873 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2005 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2507997 | (05) | OH |
I21172 | (02) | OH |