Provider Demographics
NPI:1225341605
Name:O'DONOGHUE, DONAL RORY (MD)
Entity Type:Individual
Prefix:DR
First Name:DONAL
Middle Name:RORY
Last Name:O'DONOGHUE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RORY
Other - Middle Name:DONAL
Other - Last Name:O'DONOGHUE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:26600 GEORGE ZEIGER DR
Mailing Address - Street 2:SUITE 414
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-7529
Mailing Address - Country:US
Mailing Address - Phone:216-835-8135
Mailing Address - Fax:
Practice Address - Street 1:26600 GEORGE ZEIGER DR
Practice Address - Street 2:SUITE 414
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-7529
Practice Address - Country:US
Practice Address - Phone:216-835-8135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-14
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-097965207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology