Eternal Impressions

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ETERNAL IMPRESSIONS

Practice address

751 Northwest Blvd
200-2
Grandview Heights, OH 43212-3856

Phone

(614) 299-2504

NPI assigned

May 29, 2015

Organization subpart

No

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

Authorized official

Name

Rakesh Nanda, MD

Title

Owner

Phone

(614) 421-7546

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1831578350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 NORTHWEST BLVD",
            "address_2": "200-2",
            "city": "GRANDVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "432123856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 NORTHWEST BLVD",
            "address_2": "200-2",
            "city": "GRANDVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "432123856",
            "telephone_number": "614-299-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNAL IMPRESSIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "NANDA",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-421-7546",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seuli M Brill, MD
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• Sophia Rose Cohen
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• Rikki Grace, LPCC
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• Bethany Calaway Hahn, M.D.

• Family Medicine Physician in Grandview Heights, OH
• Providers in Grandview Heights, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.