Healthcare Provider Details

I. General information

NPI: 1811493794
Provider Name (Legal Business Name): MICHAEL TANDON MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2018
Last Update Date: 07/28/2021
Certification Date: 07/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E MARKET ST
AKRON OH
44304-1619
US

IV. Provider business mailing address

3515 MASSILLON RD STE 300
UNIONTOWN OH
44685-7854
US

V. Phone/Fax

Practice location:
  • Phone: 330-375-3584
  • Fax: 330-375-3730
Mailing address:
  • Phone: 330-899-9350
  • Fax: 330-899-9267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.141817
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: