Individual
DR. SINA BENJAMIN ESRAEILIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1491 LLOYD RD, WICKLIFFE, OH 44092-2319
(440) 585-1616
Mailing address
23485 WENDOVER DR, BEACHWOOD, OH 44122-1448
(440) 585-1616
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36.002709
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000116138
ANTHEM BCBS
OH
05
—
0882540
—
OH
01
—
34-1724510-002
MEDICAL MUTUAL OF OHIO
OH
Enumeration date
09/25/2006
Last updated
07/08/2007
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