Organization
GREAT RIVER CARDIOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHOKA NAUTIYAL M.D. (OWNER)
(440) 333-7315
Entity
Organization
Contact information
Practice address
24700 CENTER RIDGE RD STE 220, WESTLAKE, OH 44145-5669
(440) 333-7315
(440) 808-8303
Mailing address
24700 CENTER RIDGE RD STE 220, WESTLAKE, OH 44145-5669
(440) 333-7315
(440) 808-8303
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35086804
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
35086804
OH
207RI0011X
Interventional Cardiology Physician
Primary
35086804
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097959
—
OH
05
—
2614371
—
OH
Enumeration date
09/26/2013
Last updated
04/17/2024
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