Basic Information
| Provider Information | |||||||||
| NPI: | 1750358974 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NARICHANIA | ||||||||
| FirstName: | DILIP | ||||||||
| MiddleName: | B | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 24651 CENTER RIDGE RD | ||||||||
| Address2: | STE 350 | ||||||||
| City: | WESTLAKE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441455627 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4408955056 | ||||||||
| FaxNumber: | 4403332935 | ||||||||
| Practice Location | |||||||||
| Address1: | 7215 OLD OAK BLVD | ||||||||
| Address2: | SUITE A318 | ||||||||
| City: | MIDDLEBURG HTS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441303340 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4408165483 | ||||||||
| FaxNumber: | 4408164599 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/07/2006 | ||||||||
| LastUpdateDate: | 02/22/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 35051820 | OH | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 35-051820 | OH | Y | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | 0614526 | 05 | OH | MEDICAID | P00304619 | 01 | OH | RAILROAD MEDICARE | OTHER |