Provider Demographics
NPI:1457371676
Name:NARASIMHAN, SUMANA (MD)
Entity Type:Individual
Prefix:
First Name:SUMANA
Middle Name:
Last Name:NARASIMHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SUMANA
Other - Middle Name:
Other - Last Name:SUNDARARAJAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9500 EUCLID AVE # R3
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-445-5158
Mailing Address - Fax:216-636-6761
Practice Address - Street 1:9500 EUCLID AVE # R3
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-1716
Practice Address - Country:US
Practice Address - Phone:216-445-5158
Practice Address - Fax:216-636-6761
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35080687208000000X
OH35-0806872080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000221013OtherUNISON
OH364066OtherWELLCARE
OH745974OtherBUCKEYE
OH2468088OtherAETNA
OH256785OtherBCMH
OH000000526137OtherANTHEM
OH1018654360001OtherPA MEDICAID
OH000000370630OtherANTHEM
OH2562785Medicaid
OH364066OtherWELLCARE
OHG85123Medicare UPIN
OH000000370630OtherANTHEM