Healthcare Provider Details

I. General information

NPI: 1740480300
Provider Name (Legal Business Name): RIMA BACHUWA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RIMA BACHUWA-GNIZAK MD

II. Dates (important events)

Enumeration Date: 07/23/2007
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18697 BAGLEY RD
MIDDLEBURG HEIGHTS OH
44130-3497
US

IV. Provider business mailing address

33443 SANTA MARIE CT
AVON OH
44011-2658
US

V. Phone/Fax

Practice location:
  • Phone: 440-816-8000
  • Fax:
Mailing address:
  • Phone: 440-787-1139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35-097973
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number35-097973
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: