Healthcare Provider Details

I. General information

NPI: 1700525706
Provider Name (Legal Business Name): KARTHIC DRISHNA PERUMAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2022
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 N MEADOWS DR
GROVE CITY OH
43123-2546
US

IV. Provider business mailing address

9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 614-663-4550
  • Fax: 614-663-4555
Mailing address:
  • Phone: 216-444-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.155949
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: