Provider Demographics
NPI:1972906634
Name:LOKESH B NINGEGOWDA MD LLC
Entity Type:Organization
Organization Name:LOKESH B NINGEGOWDA MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOKESH
Authorized Official - Middle Name:B
Authorized Official - Last Name:NINGEGOWDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-229-0781
Mailing Address - Street 1:588 EMERALD CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:OH
Mailing Address - Zip Code:44202-7869
Mailing Address - Country:US
Mailing Address - Phone:216-229-0781
Mailing Address - Fax:
Practice Address - Street 1:5311 NORTHFIELD RD
Practice Address - Street 2:SUITE 308
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-1188
Practice Address - Country:US
Practice Address - Phone:216-577-0224
Practice Address - Fax:216-663-5006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-08
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.087755207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty