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Great Lakes Practitioners LLC

Geriatric Medicine (Internal Medicine) Physician in Parma, OH · enumerated 2018 · authorized official Kourosh Saghafi, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689166860

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Registry record

Entity type Organization (Type 2)
Legal business name Great Lakes Practitioners LLC
Practice address 6681 Ridge Rd Ste 300, Parma, OH, 44129
Enumeration date Jun 4, 2018
Last updated in NPPES Mar 13, 2019

Taxonomy & classification

207RG0300X Geriatric Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians · License 4184295 (OH) Primary

Authorized official

Name Kourosh Saghafi
Title President

Other identifiers

Identifier Type State Issuer
4184295 Other - OHIO BUSINESS LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Great Lakes Practitioners LLC located?
The practice location on file with NPPES is in Parma, OH.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-03-13. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-03-13.