NPI
Octavia Deshaun Richardson
NPI 1093831729
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- LPTA
- Type
- Individual
- Enumeration date
- 2007-03-22
- Last updated
- 2007-07-08
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Specialties
Licenses
- License OH
- 06426
Location
- Practice location
- 20265 Emery Rd
- City
- North Randall OH
- Postal code
- 44128-4122
- Phone
- (216) 584-2720
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in North Randall, OH. 52 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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