Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 35.120616 | OH |
N | 2080P0203X | Pediatric Critical Care Doctor | 4301096275 | MI |
NPI | 1003121971 |
---|---|
Provider Name | Keshava Murthy Narayana Gowda |
First Address | Cleveland, OH 44195-1833 |
Second Address | Cleveland, OH 44195-1833 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2010 |
Last Update Date | 19/11/2021 |