Individual
SURESH KUMAR MAHAJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7255 OLD OAK BLVD, C101, CLEVELAND, OH 44130-3329
(440) 816-2789
(440) 816-2811
Mailing address
7255 OLD OAK BLVD, C101, CLEVELAND, OH 44130-3329
(440) 816-2789
(440) 816-2811
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35-05-8230
OH
207RG0100X
Gastroenterology Physician
35058230
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0198263
—
OH
Enumeration date
09/28/2006
Last updated
12/10/2018
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