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Individual

RUKMINI R KOMARLU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-5724
(216) 444-0450
(216) 445-3692
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-5724
(216) 386-4015
(216) 445-3692

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
252248
MA
2080P0202X
Pediatric Cardiology Physician
Primary
35.123305
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01068597A
INDIANA LICENSE
IN
Enumeration date
08/10/2010
Last updated
11/18/2021
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