# REESHAD R BUHARIWALLA, MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356742407
- **Authorized official:** MS. JENNIFER L ASHMAN (MANAGER)
- **Authorized official phone:** (419) 394-4813

## Contact information

- **Practice address:** 4090 ACADIA RD, DELPHOS, OH 45833-9410
- **Practice address phone:** (419) 394-4813
- **Mailing address:** 4090 ACADIA ROAD, DELPHOS, OH 45833
- **Mailing address phone:** (419) 394-4813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 35068953 | OH | Yes |

## Other

- **Enumeration date:** 09/09/2014
- **Last updated:** 09/09/2014