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NPI Code Detail

MEDICARE: SONNET BINGHAM AGUIRRE RDN, PA-C

MEDICARE:   SONNET BINGHAM AGUIRRE  RDN, PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133N00000XNutritionist
2133V00000XRegistered Dietitian
3363A00000XPhysician AssistantMA065910PA
4363A00000XPhysician Assistant50.009228RXOH

General Provider Information

NPI Number : 1184915720
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONNET BINGHAM AGUIRRE RDN, PA-C
Provider Business Mailing Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2049 E 100TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-2104
Country : US
Telephone Number : 216-791-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2011
Last Update Date : 02/06/2025

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Directions to “ SONNET BINGHAM AGUIRRE RDN, PA-C” Practice Location

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