| Doctor Name: | VADHYA ELIVERT |
| NPI Number: | 1649531997 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O |
| License Number: | 000000 |
| Business Practice Address: | 13170 Ravenna Rd Suite 108 Chardon, OH - 440247025 |
| Business Phone Number: | 7188076868 |
| Business Fax Number: | |
| Mailing Address: | 13170 Ravenna Rd, Suite 108 CHARDON |
| State: | OH |
| Postal Code: | 440247025 |
| Phone Number: | 7188076868 |
| Fax Number: | |
| NPI Enumeration Date: | 06/04/2012 |
| NPI Last Update Date: | 06/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 000000 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |