Individual
DR. TIMMAPPA PANDAPPA BIDARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6820 RIDGE RD, SUITE 204, PARMA, OH 44129-5646
(440) 887-9570
(440) 887-9572
Mailing address
6820 RIDGE RD, SUITE 204, PARMA, OH 44129-5646
(440) 887-9570
(440) 887-9572
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OH35036806B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000165156
ANTHEM BC/BS
OH
05
—
0262513
—
OH
Enumeration date
07/22/2006
Last updated
07/08/2007
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