Provider Demographics
NPI:1740279199
Name:BRAR, RAVINDER K (MD)
Entity type:Individual
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First Name:RAVINDER
Middle Name:K
Last Name:BRAR
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Gender:F
Credentials:MD
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Mailing Address - Street 1:6935 TREELINE DR
Mailing Address - Street 2:STE J
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-3393
Mailing Address - Country:US
Mailing Address - Phone:440-746-2220
Mailing Address - Fax:440-746-3496
Practice Address - Street 1:246 NORTHLAND DR
Practice Address - Street 2:SUITE 200 A
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-1533
Practice Address - Country:US
Practice Address - Phone:330-725-9195
Practice Address - Fax:330-725-9187
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
OH350443352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0583408Medicaid
OH0583408Medicaid
OHBR7285071Medicare ID - Type Unspecified