Provider Demographics
NPI:1134102171
Name:SAWHNY, BHUPINDER S (MD)
Entity Type:Individual
Prefix:
First Name:BHUPINDER
Middle Name:S
Last Name:SAWHNY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 22958
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44122-0958
Mailing Address - Country:US
Mailing Address - Phone:440-891-8880
Mailing Address - Fax:440-891-8884
Practice Address - Street 1:7215 OLD OAK BLVD
Practice Address - Street 2:SUITE A-311
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130-3340
Practice Address - Country:US
Practice Address - Phone:440-891-8880
Practice Address - Fax:440-891-8884
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-04-7349-S207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00085566OtherRAILROAD MEDICARE
OH0835127Medicaid
OH0843940003OtherADMINSTAR FEDERAL
OHP00085566OtherRAILROAD MEDICARE
OH0655303Medicare PIN