MEDICARE: CHENGUTTAI MANOHAR MD

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	207R00000X	Internal Medicine Physician	35073921M	OH

General Provider Information

NPI Number	:	1194805374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHENGUTTAI MANOHAR MD

Provider Business Mailing Address
First Line	:	PO BOX 92937
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44194-2937
Country	:	US
Telephone Number	:	440-428-7511
Fax Number	:	440-428-4848

Provider Business Practice Location Address
First Line	:	701 N LAKE ST STE 101
Second Line	:
City	:	MADISON
State	:	OH
Zip	:	44057-3152
Country	:	US
Telephone Number	:	216-383-0100
Fax Number	:	216-383-6481

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	05/20/2008

Similar Medicare Providers

1508946708 — JOSEPHINE MIKHAIL MD
Practice Location Address:

701 N LAKE ST STE 102
MADISON, OH
44057-3152

Practice Phone: 440-428-1106
Practice Fax: 440-428-8697

1124159512 — UNIVERSITY PRIMARY CARE PRACTICES INC
Practice Location Address:

701 N LAKE ST STE 101
MADISON, OH
44057-3152

Practice Phone: 440-428-7512
Practice Fax: 440-428-4848

1578689980 — UNIVERSITY PRIMARY CARE PRACTICES INC
Practice Location Address:

701 N LAKE ST STE 102
MADISON, OH
44057-3152

Practice Phone: 440-428-1106
Practice Fax: 440-428-8697

1154504983 — MADISON VILLAGE MANOR, INC
Practice Location Address:

731 N LAKE ST
MADISON, OH
44057-3152

Practice Phone: 440-428-1519
Practice Fax: 440-428-6360

1952543779 — DENTAL ASSOCIATES OF MADISON, LLC
Practice Location Address:

4072 SULLIVAN ST , SUITE A
MADISON, AL
35758-3152

Practice Phone: 256-772-9988
Practice Fax: 256-772-9991

1649574633 — SAMANTHA JEAN BURR LCSW
Practice Location Address:

2801 INTERNATIONAL LN STE 207
MADISON, WI
53704-3152

Practice Phone: 608-228-4610
Practice Fax:

Directions to “ CHENGUTTAI MANOHAR MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.