Individual
CHENGUTTAI MANOHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 N LAKE ST STE 101, MADISON, OH 44057-3152
(216) 383-0100
(216) 383-6481
Mailing address
PO BOX 92937, CLEVELAND, OH 44194-2937
(440) 428-7511
(440) 428-4848
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35073921M
OH
Other
Enumeration date
10/16/2006
Last updated
05/20/2008
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