# ETERNAL IMPRESSIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831578350
- **Authorized official:** RAKESH NANDA MD (OWNER)
- **Authorized official phone:** (614) 421-7546

## Contact information

- **Practice address:** 751 NORTHWEST BLVD, 200-2, GRANDVIEW HEIGHTS, OH 43212-3856
- **Practice address phone:** (614) 299-2504
- **Mailing address:** 751 NORTHWEST BLVD, 200-2, GRANDVIEW HEIGHTS, OH 43212-3856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/29/2015
- **Last updated:** 05/29/2015
