Individual
DR. VIJAY G MISTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6770 MAYFIELD RD # 425, MAYFIELD HTS, OH 44124-2299
(440) 442-2040
(440) 460-2807
Mailing address
6770 MAYFIELD RD # 425, MAYFIELD HTS, OH 44124-2299
(440) 442-2040
(440) 460-2807
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35-042001
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0432928
—
OH
01
—
0711064
MEDICARE ID - TYPE UNSPECIFIED
OH
Enumeration date
12/27/2005
Last updated
11/05/2013
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