| Shani Vaturi Md Llc | |
|
7264 Warren Sharon Rd Brookfield OH 44403-9665 | |
| (330) 448-3060 | |
| (330) 448-2555 |
| Full Name | Shani Vaturi Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7264 Warren Sharon Rd, Brookfield, Ohio |
| Authorized Official Name and Position | Shani Vaturi (PRESIDENT) |
| Authorized Official Contact | 3304483060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shani Vaturi Md Llc Po Box 1208 Hermitage PA 16148-0208 Ph: () - | Shani Vaturi Md Llc 7264 Warren Sharon Rd Brookfield OH 44403-9665 Ph: (330) 448-3060 |
| NPI Number | 1447474085 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/29/2007 |
| Medicare PECOS PAC ID | 0840237319 |
|---|---|
| Medicare Enrollment ID | O20050415000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447474085 | NPI | - | NPPES |
| 0014975420002 | Medicaid | PA | |
| 0930103 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35062216 (Ohio) | Primary |
| Provider Name | Shani Vaturi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568480341 PECOS PAC ID: 8921295312 Enrollment ID: I20160726001543 |
Trinity Recovery Health & Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7128 Warren Sharon Rd, Brookfield, OH 44403 Phone: 330-619-5250 Fax: 330-619-5251 | |
Smg Vcs Region Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7264 Warren Sharon Rd, Brookfield, OH 44403 Phone: 615-467-4158 Fax: 615-467-1267 |