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Contact Information

SINA B ESRAEILIAN, DPM
1491 LLOYD RD
WICKLIFFE, OH44092-2319
 Phone: 440-585-1616
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SINA B ESRAEILIAN · (Male)

NPI Number 1982705851
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/25/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 36.002709
  • OH Medicaid 0882540
  • OH Other 000000116138 ANTHEM BCBS
  • OH Other 34-1724510-002 MEDICAL MUTUAL OF OHIO
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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