Healthcare Provider Details

I. General information

NPI: 1336826890
Provider Name (Legal Business Name): BAIAZIT TCHOLAKOV MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2023
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4125 MEDINA RD STE 200B
AKRON OH
44333-4514
US

IV. Provider business mailing address

60 HUNT CLUB DR APT 406
COPLEY OH
44321-3143
US

V. Phone/Fax

Practice location:
  • Phone: 330-344-1255
  • Fax:
Mailing address:
  • Phone: 234-542-9590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35-156766
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: