Healthcare Provider Details

I. General information

NPI: 1992187785
Provider Name (Legal Business Name): BIJINA SHRESTHA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2015
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 W BOWERY ST
AKRON OH
44308-1069
US

IV. Provider business mailing address

215 W BOWERY ST
AKRON OH
44308-1069
US

V. Phone/Fax

Practice location:
  • Phone: 330-543-8050
  • Fax: 330-543-8054
Mailing address:
  • Phone: 330-543-8050
  • Fax: 330-543-8054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.134899
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: