Individual
DR. HIRIKATI S NAGARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7874
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
17153
KY
2086S0120X
Pediatric Surgery Physician
Primary
35-035616
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1049646
PASSPORT
KY
05
—
3120134
—
OH
05
—
64171531
—
KY
Enumeration date
07/05/2005
Last updated
11/15/2012
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