Individual
MICHAEL E SARIDAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 EAGLE VALLEY CT STE 105, BROADVIEW HEIGHTS, OH 44147-2982
(440) 537-7631
(440) 537-7631
Mailing address
1 EAGLE VALLEY CT STE 105, BROADVIEW HTS, OH 44147-2982
(440) 996-5872
(440) 970-3038
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34005683
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000129204
ANTHEM
OH
01
—
0247070001
ADMINISTAR
OH
01
—
080158099
RAILROAD MEDICARE
OH
01
—
110671
KAISER
OH
05
—
2736598
—
OH
Enumeration date
06/08/2006
Last updated
07/21/2025
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