Individual
DIVYA SREE MADHURAMTHAKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1611 S GREEN RD, SOUTH EUCLID, OH 44121-4129
(216) 237-5011
Mailing address
1058 RIVERVIEW DR, MACEDONIA, OH 44056-1622
(330) 957-1742
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.142344
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2018
Last updated
09/13/2022
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