Healthcare Provider Details

I. General information

NPI: 1750358974
Provider Name (Legal Business Name): DILIP B NARICHANIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 02/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7215 OLD OAK BLVD SUITE A318
MIDDLEBURG HTS OH
44130-3340
US

IV. Provider business mailing address

24651 CENTER RIDGE RD STE 350
WESTLAKE OH
44145-5627
US

V. Phone/Fax

Practice location:
  • Phone: 440-816-5483
  • Fax: 440-816-4599
Mailing address:
  • Phone: 440-895-5056
  • Fax: 440-333-2935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number35051820
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number35-051820
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: