Organization
ETERNAL IMPRESSIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAKESH NANDA MD (OWNER)
(614) 421-7546
Entity
Organization
Contact information
Practice address
751 NORTHWEST BLVD, 200-2, GRANDVIEW HEIGHTS, OH 43212-3856
(614) 299-2504
Mailing address
751 NORTHWEST BLVD, 200-2, GRANDVIEW HEIGHTS, OH 43212-3856
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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