Individual
GOURI B DIWADKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-6601
Mailing address
6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 44131-2182
(216) 444-6601
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35089437
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2741537
—
OH
Enumeration date
06/29/2007
Last updated
11/18/2021
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