Dr. Heidi L. Gullett M.D., M.P.H.
Family Medicine Physician in Cleveland, OH(View on Map)
Full Name
Dr. Heidi Lynelle Duff Gullett M.D., M.P.H.
NPI Number
1487722690
NPI Type
Individual Provider
Gender
Female
Enumeration Date
12/04/2006
Specialties
(Taxonomies)Code
207Q00000X
2083P0901X
Primary Taxonomy
Yes
No
Licenses
State
Kentucky
Ohio
Oregon
Tennessee
License Number
41451
093903
MD27309
42890
Contact
Information
Purpose
Mailing
Location
Address
11100 EUCLID AVE
11100 EUCLID AVE
City
Cleveland
Cleveland
State
OH
OH
Postal Code
44106-1716
44106-1716
Country
US
US
Telephone Number
(216) 844-3944
(216) 844-3944
Identifiers
Identifier
41451
P01013336
3000971
2980190
30009711
MD27309
0297023
35-093903
42890
Identifier State
KY
OH
TN
OH
TN
OR
KY
OH
TN
Identifier Issuer
KY LIC
MEDICARE RAILROAD
CIGNA MEDICARE
Unknown
CIGNA MEDICARE
OREGON LICENSE
ADMINISTAR
OHIO MEDICAL LICENSE
TN LICENSE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/07/2023