Healthcare Provider Details

I. General information

NPI: 1851551733
Provider Name (Legal Business Name): METROHEALTH MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2008
Last Update Date: 06/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 METROHEALTH DR METROHEALTH MEDICAL CENTER
CLEVELAND OH
44109-1900
US

IV. Provider business mailing address

3307 SCRANTON RD APARTMENT 305
CLEVELAND OH
44109-1647
US

V. Phone/Fax

Practice location:
  • Phone: 216-778-7800
  • Fax:
Mailing address:
  • Phone: 216-778-2222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number57-014210
License Number StateOH

VIII. Authorized Official

Name: DR. DEEPTI PAGARE BHAT
Title or Position: RESIDENT, PEDIATRICS
Credential: MD
Phone: 216-778-2222