Individual
DR. NIRAJ CHIMANBHAI MISTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 E BROAD ST, SUITE 202, ELYRIA, OH 44035-6400
(440) 329-7306
(440) 329-7798
Mailing address
125 E BROAD ST, STE 202, ELYRIA, OH 44035-6400
(440) 329-7305
(440) 329-7798
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-075487
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102450
—
OH
Enumeration date
08/09/2005
Last updated
10/05/2022
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