Organization
MINDFUL MEDICAL GROUP LLC
Active
Other names
MINDFUL MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSMITA MOOKERJEE MD (OWNER)
(440) 373-7898
Entity
Organization
Contact information
Practice address
1991 CROCKER RD STE 600, WESTLAKE, OH 44145-6976
(440) 373-7898
Mailing address
1991 CROCKER RD STE 600, WESTLAKE, OH 44145-6976
(440) 373-7898
(440) 617-6486
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0181522
—
OH
Enumeration date
06/27/2019
Last updated
09/06/2023
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