Individual
MONIKA BHOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-7700
(216) 286-6341
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35-084732
OH
207LP3000X
Pediatric Anesthesiology Physician
35-084732
OH
208000000X
Pediatrics Physician
35084732
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35-084732
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221340
UNISON
OH
01
—
000000525882
ANTHEM
OH
01
—
1011062860001
PA MEDICAID
PA
01
—
2508674
BCMH
OH
05
—
2508674
—
OH
01
—
363359
WELLCARE
OH
01
—
5432720
AETNA
OH
01
—
732169
BUCKEYE
OH
01
—
P00412301
RAILROAD MEDICARE
OH
Enumeration date
11/17/2005
Last updated
06/30/2011
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