Individual
JAYANTILAL D BHIMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1730 W 25TH ST STE 2E, CLEVELAND, OH 44113-3108
(216) 696-4140
(216) 363-2058
Mailing address
20525 CENTER RIDGE ROAD, SUITE 220, ROCKY RIVER, OH 44116
(440) 895-5056
(440) 333-2935
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35067464B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000183955
ANTHEM
—
05
—
0102285
—
OH
01
—
0119204
GROUP MEDICAID
—
01
—
0402766
UNITED HEALTHCARE
—
01
—
107754
KAISER
—
01
—
10788628
CAQH
—
01
—
110203325
RR MEDICARE INDIVIDUAL
—
01
—
1780634279
GROUP NPI
—
01
—
2212325
AETNA
—
01
—
341783789065
CARESOURCE
—
01
—
3610861
GROUP ASC MEDICARE
—
01
—
9273172
GROUP MEDICARE
—
01
—
CA4511
GROUP RR MEDICARE
—
01
—
D368301
GROUP IND DIAGNOSTICS MED
—
01
—
F67464
SUMMACARE APEX
—
Enumeration date
02/23/2006
Last updated
09/13/2024
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