GREAT LAKES PRACTITIONERS LLC NPI 1689166860

NPI Information

GREAT LAKES PRACTITIONERS LLC is a geriatric medicine internal medicine in Parma, OH. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. GREAT LAKES PRACTITIONERS LLC NPI is 1689166860. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6681 RIDGE RD STE 300
PARMA, OH
ZIP 44129-705
Phone: (440) 842-8675

The provider's authorized official is Kourosh Saghafi .
The authorized official title is President and has the following contact phone number (440) 842-8675.

The enumeration date for this NPI number is 6/4/2018 and was last updated on 3/13/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.