Individual
DR. GOUTHAM NARLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D PH.D
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-8500
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-120046
OH
207SG0201X
Clinical Genetics (M.D.) Physician
PENDING
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072037
—
OH
Enumeration date
01/07/2008
Last updated
12/26/2012
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