Provider Demographics
NPI:1376605899
Name:BAILIN AND SUNDARESH, INC.
Entity Type:Organization
Organization Name:BAILIN AND SUNDARESH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:M
Authorized Official - Last Name:BAILIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-261-2333
Mailing Address - Street 1:4700 ROCKSIDE RD
Mailing Address - Street 2:200
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OH
Mailing Address - Zip Code:44131-2155
Mailing Address - Country:US
Mailing Address - Phone:216-641-3000
Mailing Address - Fax:216-643-3011
Practice Address - Street 1:26250 EUCLID AVE
Practice Address - Street 2:#203
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-3305
Practice Address - Country:US
Practice Address - Phone:216-261-2333
Practice Address - Fax:216-289-0748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHBA4063020Medicare ID - Type Unspecified