Deenadayalu, Rengachari Paul

Deenadayalu, Rengachari Paul is an individual health care provider with primary practice located at 120 W Wenger Rd , Englewood OH 45322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Deenadayalu, Rengachari Paul can be contacted via phone (937) 836-9921.

Contact Information

Primary practice address
120 W Wenger Rd Englewood OH 45322
Phone: (937) 836-9921
Fax: (937) 836-1298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35033785D Ohio

Profile Details

NPI number 1619957545
LBN Legal business name Deenadayalu, Rengachari Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jul 9th, 2007 - about 18 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 1619957545 NPPES
Ohio MEDICAID 0169302
Ohio Other D35785
Ohio MEDICAID 2080948
Ohio Other 000000011356
Ohio Other 1220003

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