Individual
NATWARLAL JETHVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18660 BAGLEY ROAD, SUITE 102 A, MIDDLEBURG HTS, OH 44130
(440) 239-1972
(440) 239-8105
Mailing address
20525 CENTER RIDGE ROAD, SUITE 220, ROCKY RIVER, OH 44116
(440) 895-5056
(440) 333-2935
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35047059J
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000202033
ANTHEM
—
01
—
0119204
GROUP MEDICAID
—
05
—
0511968
—
OH
01
—
0636990
AETNA
—
01
—
102565
KAISER
—
01
—
11389457
CAQH
—
01
—
1780634279
GROUP NPI
—
01
—
341783789037
CARESOURCE
—
01
—
3610861
GROUP ASC MEDICARE
—
01
—
9273172
GROUP MEDICARE
—
01
—
CA4511
RR MEDICARE GROUP
—
01
—
D368301
GROUP IND DIAGNOSTICS MED
—
01
—
F47159
SUMMACARE APEX
—
Enumeration date
03/07/2006
Last updated
01/10/2008
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