Individual
DR. SALLY NAMBOODIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4242 LORAIN AVE, CLEVELAND, OH 44113-3715
(216) 939-0699
(216) 939-0789
Mailing address
4242 LORAIN AVE, CLEVELAND, OH 44113-3715
(216) 939-0699
(216) 939-0789
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
35063103
OH
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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