Healthcare Provider Details

I. General information

NPI: 1134102171
Provider Name (Legal Business Name): BHUPINDER S SAWHNY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2005
Last Update Date: 01/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7215 OLD OAK BLVD SUITE A-311
CLEVELAND OH
44130-3340
US

IV. Provider business mailing address

PO BOX 22958
CLEVELAND OH
44122-0958
US

V. Phone/Fax

Practice location:
  • Phone: 440-891-8880
  • Fax: 440-891-8884
Mailing address:
  • Phone: 440-891-8880
  • Fax: 440-891-8884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number35-04-7349-S
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: