Individual
DR. NILLA VIBHAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19999 ROCKSIDE ROAD, BEDFORD, OH 44146
(216) 524-7377
(440) 786-3841
Mailing address
1001 LAKESIDE AVE E, #1200, CLEVELAND, OH 44114-1158
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-049551
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0537084
—
OH
Enumeration date
10/04/2006
Last updated
10/10/2013
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