Healthcare Provider Details

I. General information

NPI: 1407431158
Provider Name (Legal Business Name): ABHISHEK NAIDU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2021
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2022 E 105TH ST COLE EYE INSTITUTE
CLEVELAND OH
44106
US

IV. Provider business mailing address

2022 E 105TH ST
CLEVELAND OH
44106
US

V. Phone/Fax

Practice location:
  • Phone: 216-433-2020
  • Fax: 202-877-7743
Mailing address:
  • Phone: 216-444-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number35.153885
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: