OrganizationActive
Great Lakes Practitioners LLC
NPI 1689166860 · Geriatric Medicine (Internal Medicine) Physician · Parma, OH
Provider details
- NPI number
- 1689166860
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kourosh Saghafi, President(440) 842-8675
- License
- 4184295 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6681 Ridge Rd Ste 300
Parma, OH 44129-5705
Phone: (440) 842-8675
Approximate (ZIP-level) locationGet directions
Mailing address
6681 Ridge Rd Ste 300
Parma, OH 44129-5705
Registry dates
- Enumerated
- 2018-06-04
- Last updated
- 2019-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.