Individual
DR. RADHA R BAISHNAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7901 DETROIT AVE STE 340, CLEVELAND, OH 44102-2828
(216) 961-8100
(216) 961-7883
Mailing address
7901 DETROIT AVE STE 340, CLEVELAND, OH 44102-2828
(216) 961-8100
(216) 961-7883
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35032255B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000387103
ANTHEM BC/BS
OH
01
—
000000538601
ANTHEM BC/BS
OH
05
—
0173164
—
OH
05
—
2026935
—
OH
01
—
340714684101
CARESOURCE
OH
01
—
341542312098
CARESOURCE
OH
01
—
P00437214
RAILROAD CARE
OH
01
—
P00448228
RAILROAD CARE
OH
Enumeration date
05/27/2006
Last updated
04/22/2013
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