Individual
DR. MEHRUN KADKHODAI ELYADERANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24723 DETROIT RD, WESTLAKE, OH 44145-2526
(440) 892-1440
(440) 892-4709
Mailing address
24723 DETROIT RD, WESTLAKE, OH 44145-2526
(440) 892-1440
(440) 892-4709
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-06-7960-E
OH
207XS0106X
Orthopaedic Hand Surgery Physician
35-06-7960-E
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2175051
—
OH
Enumeration date
08/03/2006
Last updated
11/26/2007
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