Individual
DR. TY DAHODWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1730 W 25TH ST, SUITE 1000, CLEVELAND, OH 44113-3108
(216) 685-9975
(216) 685-9976
Mailing address
1730 W 25TH ST, SUITE 1000, CLEVELAND, OH 44113-3108
(216) 685-9975
(216) 685-9976
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3000
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000228478
ANTHEM BCBS PROVIDER ID
OH
01
—
104952
KAISER ID
OH
05
—
2319075
—
OH
01
—
F03000
APEX PROVIDER ID
OH
Enumeration date
06/30/2006
Last updated
07/08/2007
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