Organization Active NPI

Suresh K. Mahajan M.D. Inc.

  • Gastroenterology Physician
  • Cleveland, OH
National Provider Identifier
1750464863
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35-05-8230-M Issued in OH
Legal business name
SURESH K. MAHAJAN M.D. INC.
Practice address
7255 Old Oak Blvd
C101
Cleveland, OH 44130-3329
Phone
(440) 816-2789
Fax
(440) 816-2811
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Suresh K Mahajan, M.D.
Title
Owner
Phone
(440) 816-2789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 35-05-8230-M OH Primary

Addresses

Primary practice location

7255 Old Oak Blvd
C101
Cleveland, OH 44130-3329

Mailing address

7255 Old Oak Blvd
C101
Cleveland, OH 44130-3329
Phone (440) 816-2789

Other identifiers 1

IdentifierTypeStateIssuer
0198263MedicaidOH

National Provider Directory

National Provider Directory

Locations

7255 Old Oak Blvd
Ste C101
Middleburg Heights, OH 44130
Phone (216) 816-2733

7255 Old Oak Blvd
Ste 101
Middleburg Heights, OH 44130
Phone (216) 816-2733

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1750464863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7255 OLD OAK BLVD",
            "address_2": "C101",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303329",
            "telephone_number": "440-816-2789",
            "fax_number": "440-816-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 OLD OAK BLVD",
            "address_2": "C101",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303329",
            "telephone_number": "440-816-2789",
            "fax_number": "440-816-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURESH K. MAHAJAN M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "MAHAJAN",
        "authorized_official_first_name": "SURESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-816-2789",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35-05-8230-M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0198263",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.