Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35080687 | OH |
Y | 2080P0205X | Pediatric Endocrinologist | 35-080687 | OH |
NPI | 1457371676 |
---|---|
Provider Name | Sumana Narasimhan |
First Address | Cleveland, OH 44195-0001 |
Second Address | Cleveland, OH 44195-1716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 11/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000221013 | UNISON (01) | OH |
000000370630 | ANTHEM (01) | OH |
000000526137 | ANTHEM (01) | OH |
1018654360001 | PA MEDICAID (01) | OH |
2468088 | AETNA (01) | OH |
2562785 | (05) | OH |
256785 | BCMH (01) | OH |
364066 | WELLCARE (01) | OH |
745974 | BUCKEYE (01) | OH |
G85123 | (02) | OH |