Organization
REESHAD R BUHARIWALLA, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER L ASHMAN (MANAGER)
(419) 394-4813
Entity
Organization
Contact information
Practice address
4090 ACADIA RD, DELPHOS, OH 45833-9410
(419) 394-4813
Mailing address
4090 ACADIA ROAD, DELPHOS, OH 45833
(419) 394-4813
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
35068953
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217269
—
OH
05
—
8953
—
OH
Enumeration date
09/09/2014
Last updated
09/09/2014
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