Provider Demographics
NPI:1326040213
Name:ANESTHESIA CARE OF OHIO, INC
Entity Type:Organization
Organization Name:ANESTHESIA CARE OF OHIO, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NANDLAL
Authorized Official - Middle Name:
Authorized Official - Last Name:VARYANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-891-8800
Mailing Address - Street 1:19250 BAGLEY RD
Mailing Address - Street 2:#101
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3314
Mailing Address - Country:US
Mailing Address - Phone:440-891-8800
Mailing Address - Fax:440-891-1734
Practice Address - Street 1:19250 BAGLEY RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130-3314
Practice Address - Country:US
Practice Address - Phone:440-826-3240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2098653Medicaid
OHCE9923OtherRAILROAD MEDICARE
OH=========OtherANTHEM BCBS
OH2098653Medicaid
OHCE9923OtherRAILROAD MEDICARE
OHCE9923OtherRAILROAD MEDICARE