Provider Demographics
NPI:1134368301
Name:PERRY, SARAN IJNANYA (STNA)
Entity type:Individual
Prefix:
First Name:SARAN
Middle Name:IJNANYA
Last Name:PERRY
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17305 PALDA DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44128-3338
Mailing Address - Country:US
Mailing Address - Phone:216-404-8120
Mailing Address - Fax:
Practice Address - Street 1:17305 PALDA DR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44128-3338
Practice Address - Country:US
Practice Address - Phone:216-404-8120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400279150803374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide