MEDICARE: METROHEALTH MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282NC2000X	Children's Hospital	57-014210	OH

General Provider Information

NPI Number	:	1851551733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROHEALTH MEDICAL CENTER

Provider Business Mailing Address
First Line	:	3307 SCRANTON RD
Second Line	:	APARTMENT 305
City	:	CLEVELAND
State	:	OH
Zip	:	44109-1647
Country	:	US
Telephone Number	:	216-778-2222
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 METROHEALTH DR
Second Line	:	METROHEALTH MEDICAL CENTER
City	:	CLEVELAND
State	:	OH
Zip	:	44109-1900
Country	:	US
Telephone Number	:	216-778-7800
Fax Number	:

Authorized Official
Title or Position	:	RESIDENT, PEDIATRICS
Name	:	DR. DEEPTI PAGARE BHAT
Credential	:	MD
Telephone Number	:	216-778-2222

Provider Enumeration Date	:	06/13/2008
Last Update Date	:	06/13/2008

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