Individual
MR. AJAY VENKAT CHANDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
347 MIDWAY BLVD STE 210, ELYRIA, OH 44035-2496
(440) 324-5555
(440) 324-5512
Mailing address
4261 BRADLEY RD, WESTLAKE, OH 44145-5015
(614) 937-1652
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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