Organization
NORTHEAST OHIO VASCULAR ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIKRAM K RAO M.D. (OWNER)
(440) 269-8346
Entity
Organization
Contact information
Practice address
36445 BILTMORE PL STE A, WILLOUGHBY, OH 44094-8228
(216) 645-7242
(440) 975-5763
Mailing address
PO BOX 1086, WILLOUGHBY, OH 44096-1086
(440) 269-8346
(440) 975-5763
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2224248
—
OH
01
—
CJ2226
RAILROAD MEDICARE
OH
Enumeration date
09/21/2006
Last updated
04/19/2022
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