Provider Demographics
NPI:1174818314
Name:CENTER FOR NEUROSURGERY, LLC
Entity Type:Organization
Organization Name:CENTER FOR NEUROSURGERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BHUPINDER
Authorized Official - Middle Name:S
Authorized Official - Last Name:SAWHNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-891-8880
Mailing Address - Street 1:6731 RIDGE RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44129-5708
Mailing Address - Country:US
Mailing Address - Phone:440-891-8880
Mailing Address - Fax:440-891-8884
Practice Address - Street 1:6731 RIDGE RD
Practice Address - Street 2:SUITE 301
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44129-5708
Practice Address - Country:US
Practice Address - Phone:440-891-8880
Practice Address - Fax:440-891-8884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-16
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0050098Medicaid
OH0050098Medicaid
OH6713590001Medicare NSC