| Lakeshore Heart, Inc. | |
|
21851 Center Ridge Rd Suite 200 Rocky River OH 44116-3976 | |
| (440) 333-0060 | |
| (440) 333-0065 |
| Full Name | Lakeshore Heart, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 21851 Center Ridge Rd, Rocky River, Ohio |
| Authorized Official Name and Position | Ramesh J Brahmbhatt (PHYSICIAN) |
| Authorized Official Contact | 4403330060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Heart, Inc. 21851 Center Ridge Rd Suite 200 Rocky River OH 44116-3976 Ph: (440) 333-0060 | Lakeshore Heart, Inc. 21851 Center Ridge Rd Suite 200 Rocky River OH 44116-3976 Ph: (440) 333-0060 |
| NPI Number | 1295923001 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 10/05/2007 |
| Medicare PECOS PAC ID | 1557531662 |
|---|---|
| Medicare Enrollment ID | O20110829000434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295923001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 43292 (Ohio) | Primary |
| Provider Name | Ramesh Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750489977 PECOS PAC ID: 2466622576 Enrollment ID: I20110906000491 |
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