Adhvaryu, Hareendra G.

Adhvaryu, Hareendra G. is an sole proprietor health care provider with primary practice located at 14601 Detroit Ave Suite 690, Lakewood OH 44107-4214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Adhvaryu, Hareendra G. can be contacted via phone (216) 529-2359.

Contact Information

Primary practice address
14601 Detroit Ave Suite 690 Lakewood OH 44107-4214
Phone: (216) 529-2359
Fax: (216) 529-2813
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35-039398A Ohio

Profile Details

NPI number 1124063425
LBN Legal business name Adhvaryu, Hareendra G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2006
Last updated Feb 6th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124063425 NPPES
Ohio Other 000000509266 ANTHEM BC/BS
Ohio Other 350064 ANTHEM BC/BS
Ohio MEDICAID 0398109 ANTHEM BC/BS
Ohio Other 341542312150 ANTHEM BC/BS

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