Individual
DR. NISIT POOLTHANANANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 224-1175
(216) 636-6983
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 224-1175
(216) 636-6983
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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