Individual
GOVIN BASKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14601 DETROIT AVE, 395, LAKEWOOD, OH 44107-4214
(216) 529-7780
(216) 529-0345
Mailing address
14601 DETROIT AVE, 395, LAKEWOOD, OH 44107-4214
(216) 529-7780
(216) 529-0345
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-072315
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000133634
ANTHEM
OH
05
—
2008973
—
OH
Enumeration date
01/20/2006
Last updated
07/08/2007
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