DR. RENGACHARI PAUL DEENADAYALU MD NPI 1619957545

NPI Information

NPI: 1619957545
Provider Name: DR. RENGACHARI PAUL DEENADAYALU, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
120 W WENGER RD
ENGLEWOOD, OH
ZIP 45322
Phone: (937) 836-9921
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DR. Rengachari Paul Deenadayalu, MD is a pediatrics in Englewood, OH. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Rengachari Paul Deenadayalu, MD NPI is 1619957545. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

120 W WENGER RD
ENGLEWOOD, OH
ZIP 45322
Phone: (937) 836-9921
Fax: (937) 836-1298

The enumeration date for this NPI number is 1/18/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		35033785D	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0169302	MEDICAID	OHIO
2	DE0536863	MEDICARE ID-TYPE UNSPECIFIED
3	D35785	OTHER		HUMANA
4	C02594	MEDICARE UPIN
5	N09285501	MEDICARE ID-TYPE UNSPECIFIED		GROUP
6	000000011356	OTHER	OHIO	ANTHEM BCBS
7	1220003	OTHER	OHIO	UNITED HEALTHCARE
8	2080948	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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