| Hardev S Sroa, MD | |
|
442 W High St Ste 3, Bryan, OH 43506-1681 | |
| (419) 636-4517 | |
| (419) 636-6438 |
| Full Name | Hardev S Sroa |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 45 Years |
| Location | 442 W High St Ste 3, Bryan, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326172495 | NPI | - | NPPES |
| 0214913 | Medicaid | OH | |
| 370016531 | Other | OH | RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080S0012X | Pediatrics - Sleep Medicine | 35069899 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospitals And Wellness Centers | Montpelier, OH | Hospital |
| Fulton County Health Center | Wauseon, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Community Health Associates, Inc. | 0941114250 | 76 |
| Entity Name | Midwest Community Health Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619915170 PECOS PAC ID: 0941114250 Enrollment ID: O20031231000726 |
| Mailing Address | Practice Location Address |
|---|---|
| Hardev S Sroa, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Hardev S Sroa, MD 442 W High St Ste 3, Bryan, OH 43506-1681 Ph: (419) 636-4517 |
Luvenia E. Tantoco, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 442 W High St, Bryan, OH 43506 Phone: 419-636-4517 Fax: 419-636-6438 | |
Kimberly L. Dillon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 442 W High St Ste 3, Bryan, OH 43506 Phone: 419-636-4517 Fax: 419-636-6438 | |
Ms. Celeste D Lopez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 442 W High St Ste 3, Bryan, OH 43506 Phone: 419-636-4517 Fax: 419-636-6438 |