Healthcare Provider Details
I. General information
NPI: 1457330730
Provider Name (Legal Business Name): RAVI M KARNANI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/13/2006
Last Update Date: 08/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
215 W BOWERY ST SUITE 4500
AKRON OH
44308-1069
US
IV. Provider business mailing address
215 W BOWERY ST SUITE 4500
AKRON OH
44308-1069
US
V. Phone/Fax
- Phone: 330-762-7475
- Fax: 330-762-2988
- Phone: 330-762-7475
- Fax: 330-762-2988
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207K00000X |
| Taxonomy | Allergy & Immunology Physician |
| License Number | OH35073400 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: