| Suresh M Dasani Md Inc | |
|
2755 Shoreland Ave Toledo OH 43611-1177 | |
| (419) 726-7070 | |
| (419) 726-3621 |
| Full Name | Suresh M Dasani Md Inc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 2755 Shoreland Ave, Toledo, Ohio |
| Authorized Official Name and Position | Suresh Madhavji Dasani (PRESIDENT) |
| Authorized Official Contact | 4197267070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suresh M Dasani Md Inc 2755 Shoreland Ave Toledo OH 43611-1177 Ph: (419) 726-7070 | Suresh M Dasani Md Inc 2755 Shoreland Ave Toledo OH 43611-1177 Ph: (419) 726-7070 |
| NPI Number | 1134128515 |
|---|---|
| Provider Enumeration Date | 07/19/2005 |
| Last Update Date | 09/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134128515 | NPI | - | NPPES |
| 0699687 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 35054340 (Ohio) | Primary |
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