Provider Demographics
NPI:1336334366
Name:SAROJ BRAR MD INC
Entity Type:Organization
Organization Name:SAROJ BRAR MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAROJ
Authorized Official - Middle Name:B
Authorized Official - Last Name:BRAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-965-8336
Mailing Address - Street 1:28340 RED RAVEN RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44124-4556
Mailing Address - Country:US
Mailing Address - Phone:216-965-8336
Mailing Address - Fax:216-292-7729
Practice Address - Street 1:28340 RED RAVEN RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44124-4556
Practice Address - Country:US
Practice Address - Phone:216-965-8336
Practice Address - Fax:216-292-7729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350475362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0515384Medicaid
OH0515384Medicaid
OH9337451Medicare PIN