Provider Demographics
NPI:1124301700
Name:DIGESTIVE HEALTH CONSULTANTS, INC.
Entity type:Organization
Organization Name:DIGESTIVE HEALTH CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMAKRISHNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BANDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-920-1212
Mailing Address - Street 1:275 GRAHAM RD STE 11
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-2259
Mailing Address - Country:US
Mailing Address - Phone:330-920-1212
Mailing Address - Fax:330-923-0508
Practice Address - Street 1:275 GRAHAM RD STE 11
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44223-2259
Practice Address - Country:US
Practice Address - Phone:330-920-1212
Practice Address - Fax:330-923-0508
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUMMA PHYSICIANS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA 12590-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty