Individual
DR. RENGACHARI PAUL DEENADAYALU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 W WENGER RD, ENGLEWOOD, OH 45322
(937) 836-9921
(937) 836-1298
Mailing address
120 W WENGER RD, ENGLEWOOD, OH 45322
(937) 836-9921
(937) 836-1298
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35033785D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000011356
ANTHEM BCBS
OH
05
—
0169302
—
OH
01
—
1220003
UNITED HEALTHCARE
OH
05
—
2080948
—
OH
01
—
D35785
HUMANA
—
Enumeration date
01/18/2006
Last updated
07/09/2007
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