Individual
DR. GOUTHAM RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3944
Mailing address
20800 HARVARD RD, 2ND FLOOR, HIGHLAND HILLS, OH 44122-7251
(216) 358-2315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.128248
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101115820
—
PA
Enumeration date
03/10/2006
Last updated
01/14/2021
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