Razleen Brar, M.D.
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Cleveland, OH
NPI 1407200215 · NPPES record last updated Apr 15, 2020
Key facts
- NPI
- 1407200215
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- E3929157 (CA)
- Practice address
- 9500 Euclid Ave # NA-23
Cleveland, OH 44195-0001 - Phone
- (216) 444-2200
- NPI assigned
- Apr 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180620001638 | CA | Order and Referring Only - Pediatric Medicine |
7911252655 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3929157 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California Irvine | Past | Accepting new patients |
Interoperability endpoints
- rbrar1242747@direct.llu.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | E3929157 | CA | Yes |
Addresses
Primary practice location
9500 Euclid Ave # NA-23
Cleveland, OH 44195-0001
Mailing address
9500 Euclid Ave # NA-23
Cleveland, OH 44195-0001
Phone (216) 444-2200
Other practice location 1
505 S Main St Ste 525
Orange, CA 92868-4553
Phone (714) 456-5631
Other providers in Cleveland, OH
- Shelda S Brantley
- Gurjeet Singh Brar
- Harmeet Kaur Brar
- Lakhvir Brar
- Marissa Rae Brar
- Rupinder Kaur Brar
- Saroj B Brar
- Julia Brasfield
- Patricia Brashear
- Tracy L Brashear
All providers in Cleveland, OH · Student in an Organized Health Care Education/Training Program in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.