Organization
CENTER FOR MIND BRAIN & BEHAVIORAL MEDICINE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHISHUKA MAHOLTRA MD (PHYSICIAN/OWNER)
(330) 453-9085
Entity
Organization
Contact information
Practice address
4825 HIGBEE AVE NW, SUITE 102, CANTON, OH 44718-2567
(330) 453-9085
(330) 453-9089
Mailing address
4825 HIGBEE AVE NW, SUITE 102, CANTON, OH 44718-2567
(330) 453-9085
(330) 453-9089
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35079074M
OH
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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