Provider Demographics
NPI:1356367833
Name:DIPALI, ARAVIND LINGO (MD)
Entity type:Individual
Prefix:DR
First Name:ARAVIND
Middle Name:LINGO
Last Name:DIPALI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:24651 CENTER RIDGE RD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5635
Mailing Address - Country:US
Mailing Address - Phone:440-895-5021
Mailing Address - Fax:440-895-5050
Practice Address - Street 1:29099 HEALTH CAMPUS DR
Practice Address - Street 2:SUITE 325
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5200
Practice Address - Country:US
Practice Address - Phone:440-835-6165
Practice Address - Fax:440-892-6687
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2012-11-08
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Provider Licenses
StateLicense IDTaxonomies
OH35.042967208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0431232Medicaid
OH0431232Medicaid