Reeshad R Buhariwalla, MD Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

35068953 Issued in OH

Legal business name

REESHAD R BUHARIWALLA, MD INC

Practice address

4090 Acadia Rd
Delphos, OH 45833-9410

Phone

(419) 394-4813

NPI assigned

Sep 9, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jennifer L Ashman

Title

Manager

Phone

(419) 394-4813

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1356742407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 ACADIA ROAD",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "45833",
            "telephone_number": "419-394-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 ACADIA RD",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339410",
            "telephone_number": "419-394-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REESHAD R BUHARIWALLA, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "ASHMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "419-394-4813",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "35068953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0217269",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8953",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila Ann Pohlman, PT
• Melissa Rau
• Sydney Rau
• Tiffany L Rayoum
• Jenna Reel
• Rite Aid of Ohio Inc (Rite Aid Pharmacy 03185)
• Nichole K Rode
• Melissa Rodriguez, MSW, LSW
• Lisa Roebke
• Joseph Arnold Rosebrock, NP-C

• Medical Specialty Clinic/Center in Delphos, OH
• Providers in Delphos, OH by specialty
• Medical Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.