Healthcare Provider Details

I. General information

NPI: 1518247832
Provider Name (Legal Business Name): FNU RAJESH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: FNU RAJESH MD

II. Dates (important events)

Enumeration Date: 08/17/2011
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 S MAIN ST STE 100
AKRON OH
44308-1416
US

IV. Provider business mailing address

137 S MAIN ST STE 100
AKRON OH
44308-1416
US

V. Phone/Fax

Practice location:
  • Phone: 330-918-6000
  • Fax: 330-918-6851
Mailing address:
  • Phone: 330-918-6000
  • Fax: 330-918-6851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.123140
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: