Individual
PUSHPALATHA TIRUMALE VENKATARAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
801 E WASHINGTON ST, SUITE 150, MEDINA, OH 44256-3335
(330) 722-1069
Mailing address
9220 MENTOR AVE, MENTOR, OH 44060-6412
(440) 354-9924
(877) 242-9583
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003757
OH
Other
Enumeration date
03/21/2013
Last updated
09/21/2022
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