Organization
OBGYN OF WESTLAKE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIMA BACHUWA (PRESIDENT)
(440) 871-2222
Entity
Organization
Contact information
Practice address
2211 CROCKER RD STE 130, WESTLAKE, OH 44145-7603
(440) 871-2222
(440) 249-4111
Mailing address
30701 LORAIN RD STE A, NORTH OLMSTED, OH 44070-6325
(440) 274-5000
(440) 716-8608
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2313468
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2313468
BUSINESS LICENSE
OH
Enumeration date
09/23/2014
Last updated
02/12/2020
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