Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD459590 | PA |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 57.247014 | OH |
NPI | 1043643810 |
---|---|
Provider Name | Dr. Naveen Kumar Kannekanti |
First Address | Cleveland, OH 44109-1900 |
Second Address | Cleveland, OH 44109-1900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2013 |
Last Update Date | 27/12/2021 |