Individual
DR. SUPRIYA MARIE MAHAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
673 EAST RIVER STREET, ELYRIA, OH 44035
(440) 323-6422
(440) 322-5574
Mailing address
673 EAST RIVER STREET, ELYRIA, OH 44035
(440) 323-6422
(440) 322-5574
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35.131900
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0243671
—
OH
Enumeration date
06/08/2012
Last updated
06/11/2018
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