# OBGYN OF WESTLAKE, LLC

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

## Provider details

- **NPI number:** 1972905867
- **Authorized official:** RIMA BACHUWA (PRESIDENT)
- **Authorized official phone:** (440) 871-2222

## Contact information

- **Practice address:** 2211 CROCKER RD STE 130, WESTLAKE, OH 44145-7603
- **Practice address phone:** (440) 871-2222
- **Practice address fax:** (440) 249-4111
- **Mailing address:** 30701 LORAIN RD STE A, NORTH OLMSTED, OH 44070-6325
- **Mailing address phone:** (440) 274-5000
- **Mailing address fax:** (440) 716-8608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 2313468 | OH | Yes |

## Other

- **Enumeration date:** 09/23/2014
- **Last updated:** 02/12/2020