Viswanath, Basavarajappa

Viswanath, Basavarajappa is an individual health care provider with primary practice located at 125 E Broad St Suite #209, Elyria OH 44035-6400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Viswanath, Basavarajappa can be contacted via phone (440) 329-7320.

Contact Information

Primary practice address
125 E Broad St Suite #209 Elyria OH 44035-6400
Phone: (440) 329-7320
Fax: (440) 329-7319
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 35-044261 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35-044261 Ohio

Profile Details

NPI number 1144207143
LBN Legal business name Viswanath, Basavarajappa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Dec 14th, 2020 - about 5 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 1144207143 NPPES
Other 080117615 RAILROAD MEDICARE
MEDICAID 0429478 RAILROAD MEDICARE

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