Provider Demographics
NPI:1265968861
Name:TOLANI, DRISHTI CHANDRU (MD)
Entity type:Individual
Prefix:MS
First Name:DRISHTI
Middle Name:CHANDRU
Last Name:TOLANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVE # M41
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-445-5000
Mailing Address - Fax:216-445-3692
Practice Address - Street 1:9500 EUCLID AVE # M41
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-445-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-03
Last Update Date:2024-11-22
Deactivation Date:2017-12-06
Deactivation Code:
Reactivation Date:2018-01-09
Provider Licenses
StateLicense IDTaxonomies
OH35.1497382080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology