Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 35-041377 | OH |
NPI | 1023086576 |
---|---|
Provider Name | Saroj Mahalaha |
First Address | Cleveland, OH 44194-0001 |
Second Address | Westlake, OH 44145-1493 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2006 |
Last Update Date | 17/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0402522 | (05) | OH |
B96452 | (02) |