Healthcare Provider Details

I. General information

NPI: 1407710445
Provider Name (Legal Business Name): NITIN MANOHARA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

POST BOX E-31, 9500 EUCLID AVE CLEVELAND CLINIC HOSPITAL MAIN CAMPUS
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

POST BOX E-31, 9500 EUCLID AVE CLEVELAND CLINIC HOSPITAL MAIN CAMPUS
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-2200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number75.000071
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: