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Individual

DR. KEMING GAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10524 EUCLID AVE FL 12, CLEVELAND, OH 44106-2205
(216) 844-2400
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35-081509
OH
2084P0800X
Psychiatry Physician
35081509
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000224456
UNISON
OH
01
000000532972
ANTHEMN
OH
05
2506694
OH
01
363544
WELLCARE MEDICAID
OH
01
7810838
AETNA
OH
01
P01130935
MEDICARE RAILROAD
OH
Enumeration date
07/25/2006
Last updated
02/14/2025
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