Healthcare Provider Details

I. General information

NPI: 1154655868
Provider Name (Legal Business Name): SHALINDER S ARNEJA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2009
Last Update Date: 09/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5555 TRANSPORTATION BLVD
GARFIELD HEIGHTS OH
44125-5371
US

IV. Provider business mailing address

1237 WASHINGTON AVE APT. 501
CLEVELAND OH
44113-2361
US

V. Phone/Fax

Practice location:
  • Phone: 216-644-8633
  • Fax:
Mailing address:
  • Phone: 216-644-8633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberTEMPORARY LICENCE
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: