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Contact Information

RENGACHARI P DEENADAYALU, MD
120 W WENGER RD
ENGLEWOOD, OH45322
 Phone: 937-836-9921
 Fax: 937-836-1298
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for RENGACHARI P DEENADAYALU · (Male)

NPI Number 1619957545
Status Active
Credentials MD
Entity Individual
Enumeration date 01/18/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH License # 35033785D
  • OH Medicaid 0169302
  • OH Medicaid 2080948
  • Other D35785 HUMANA
  • OH Other 000000011356 ANTHEM BCBS
  • OH Other 1220003 UNITED HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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