Provider Demographics
NPI:1982140679
Name:NIRVANA HEALTH & WELLNESS INC
Entity Type:Organization
Organization Name:NIRVANA HEALTH & WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ADITYANJEE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADITYANJEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-872-6548
Mailing Address - Street 1:PO BOX 451005
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-0624
Mailing Address - Country:US
Mailing Address - Phone:440-872-6548
Mailing Address - Fax:440-360-7669
Practice Address - Street 1:24700 CENTER RIDGE RD STE 230
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5682
Practice Address - Country:US
Practice Address - Phone:440-872-6548
Practice Address - Fax:440-360-7669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-18
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty