Basic Information
Provider Information
NPI: 1134212111
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MUNJAPARA
FirstName: VALJI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7255 OLD OAK BLVD STE C209
Address2:  
City: MIDDLEBURG HEIGHTS
State: OH
PostalCode: 441303329
CountryCode: US
TelephoneNumber: 4408162777
FaxNumber: 4408165437
Practice Location
Address1: 7255 OLD OAK BLVD STE 209
Address2:  
City: CLEVELAND
State: OH
PostalCode: 441303329
CountryCode: US
TelephoneNumber: 2163830100
FaxNumber: 2163836481
Other Information
ProviderEnumerationDate: 10/02/2006
LastUpdateDate: 01/26/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/26/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X35070846OHY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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