Organization
SARAVANAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BALAJI SARAVANAN MD (PRESIDENT)
(440) 352-4321
Entity
Organization
Contact information
Practice address
630 E RIVER ST, ELYRIA, OH 44035-5902
(440) 352-4321
(440) 392-6193
Mailing address
PO BOX 477, AVON, OH 44011-0477
(440) 352-4321
(440) 392-6193
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2776509
—
OH
Enumeration date
02/21/2013
Last updated
02/21/2013
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