Provider Demographics
NPI:1679885404
Name:ALLIED HEALTH & CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ALLIED HEALTH & CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:TAMIM
Authorized Official - Middle Name:TY
Authorized Official - Last Name:DAHODWALA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:216-685-9975
Mailing Address - Street 1:1810 W 25TH ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44113-3152
Mailing Address - Country:US
Mailing Address - Phone:216-685-9975
Mailing Address - Fax:
Practice Address - Street 1:1810 W 25TH ST UNIT 1
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-3152
Practice Address - Country:US
Practice Address - Phone:216-685-9975
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-09
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty