Individual
HARINATHRAO R. DACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 E BROAD ST, SUITE 119, ELYRIA, OH 44035-6400
(440) 329-7397
(440) 329-7396
Mailing address
125 E BROAD ST, SUITE 119, ELYRIA, OH 44035-6400
(440) 329-7397
(440) 329-7396
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3546450D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0464895
—
OH
Enumeration date
01/11/2006
Last updated
02/24/2011
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