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Individual

SMITHA S KRISHNAMURTHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-8500
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
35-078364
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000224294
UNISON
OH
01
000000539580
ANTHEM
OH
05
2190721
OH
01
2376639
AETNA
OH
01
363726
WELLCARE
OH
01
741825
BUCKEYE
OH
01
P00425424
RAILROAD MEDICARE
OH
Enumeration date
07/15/2006
Last updated
12/04/2017
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