Individual
USHARANI V TANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18697 BAGLEY RD, MIDDLEBURG HTS, OH 44130-3497
(216) 778-3119
(208) 977-9077
Mailing address
1610 MENTOR AVE, STE 2, PAINSEVILLE, OH 44077-1745
(440) 352-6132
(440) 392-6193
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35-074966
OH
208100000X
Physical Medicine & Rehabilitation Physician
35074966
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2118587
—
OH
01
—
5072204300
BWC
OH
Enumeration date
06/28/2006
Last updated
05/13/2009
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