Individual
DR. MADHURI MEDARAMETLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7590 WENTWORTH LN, MENTOR, OH 44060-7273
(440) 339-4126
Mailing address
7590 WENTWORTH LN, MENTOR, OH 44060-7273
(440) 339-4126
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35.088760
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0342391
—
OH
Enumeration date
06/08/2007
Last updated
02/09/2021
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