Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 35.137251 | OH |
N | 2080P0202X | Pediatric Cardiologist | 40907 | IA |
N | 2080P0202X | Pediatric Cardiologist | 8561 | SD |
NPI | 1225247406 |
---|---|
Provider Name | Dr. Edgard Andre Bendaly |
First Address | Cleveland, OH 44195-5074 |
Second Address | Cleveland, OH 44195-5074 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 05/11/2021 |