Individual
JAYAKUMAR SAHADEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-8500
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6612
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35074725
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224323
UNISON
OH
01
—
000000539515
ANTHEM
OH
01
—
18274437100
BWC
OH
05
—
2298197
—
OH
01
—
363980
WELLCARE
OH
01
—
741779
BUCKEYE
—
01
—
7501386
AETNA
OH
Enumeration date
07/15/2006
Last updated
08/27/2014
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