Provider Demographics
NPI:1083884902
Name:NANDREANI INC
Entity Type:Organization
Organization Name:NANDREANI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OBGYN
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-285-0828
Mailing Address - Street 1:13170 RAVENNA RD STE 116
Mailing Address - Street 2:
Mailing Address - City:CHARDON
Mailing Address - State:OH
Mailing Address - Zip Code:44024-7022
Mailing Address - Country:US
Mailing Address - Phone:440-285-0828
Mailing Address - Fax:440-285-8023
Practice Address - Street 1:13170 RAVENNA RD
Practice Address - Street 2:SUITE#116
Practice Address - City:CHARDON
Practice Address - State:OH
Practice Address - Zip Code:44024-7025
Practice Address - Country:US
Practice Address - Phone:440-285-0828
Practice Address - Fax:440-285-8023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH35072372A305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
H00988Medicare UPIN