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Individual

AKARI TICHAVAKUNDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14100 CEDAR RD, SUITE 270, CLEVELAND, OH 44121-3212
(216) 382-0555
(216) 382-0726
Mailing address
14100 CEDAR RD, SUITE 270, CLEVELAND, OH 44121-3212
(216) 382-0555
(216) 382-0726

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-064983
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000133808
ANTHEM
OH
05
0929740
OH
Enumeration date
10/18/2005
Last updated
02/19/2016
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