Healthcare Provider Details

I. General information

NPI: 1528572534
Provider Name (Legal Business Name): OCCHEALTH CONCEPTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2017
Last Update Date: 06/15/2022
Certification Date: 06/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5311 NORTHFIELD RD STE 308
BEDFORD HEIGHTS OH
44146-1145
US

IV. Provider business mailing address

PO BOX 22748
BEACHWOOD OH
44122-0748
US

V. Phone/Fax

Practice location:
  • Phone: 216-577-0224
  • Fax:
Mailing address:
  • Phone: 216-577-0224
  • Fax: 216-663-5006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SATISH K MAHNA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 216-577-0224