Individual
KHODANPUR GURUPRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12000 MCCRACKEN RD, SUITE 460, GARFIELD HTS, OH 44125-2964
(216) 475-5370
(216) 475-5125
Mailing address
12000 MCCRACKEN RD, SUITE 460, GARFIELD HTS, OH 44125-2964
(216) 475-5370
(216) 475-5125
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35061417
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0841594
—
OH
Enumeration date
10/22/2005
Last updated
01/10/2011
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