Provider Demographics
NPI:1588612725
Name:SARAIYA, PURVI R (MD)
Entity Type:Individual
Prefix:
First Name:PURVI
Middle Name:R
Last Name:SARAIYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4235 SECOR RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4231
Mailing Address - Country:US
Mailing Address - Phone:419-479-8770
Mailing Address - Fax:419-479-5771
Practice Address - Street 1:4235 SECOR RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-4231
Practice Address - Country:US
Practice Address - Phone:419-479-5770
Practice Address - Fax:419-479-5771
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350874132084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2660991Medicaid
P00326836OtherMEDICARE RAILROAD
MI0N11220022Medicare PIN
OH2660991Medicaid
OHSA4183941Medicare PIN