Basic Information
Provider Information
NPI: 1841898665
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BANIPAL
FirstName: HARMEET
MiddleName: KAUR
NamePrefix:  
NameSuffix:  
Credential: SRNA, RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10900 EUCLID AVE
Address2:  
City: CLEVELAND
State: OH
PostalCode: 441064901
CountryCode: US
TelephoneNumber: 2163685999
FaxNumber:  
Practice Location
Address1: 141 N FORGE ST
Address2:  
City: AKRON
State: OH
PostalCode: 443041407
CountryCode: US
TelephoneNumber: 3303753000
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/14/2020
LastUpdateDate: 10/14/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/13/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WC0200XRN.449655OHY Nursing Service ProvidersRegistered NurseCritical Care Medicine

No ID Information.


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