Healthcare Provider Details

I. General information

NPI: 1598946477
Provider Name (Legal Business Name): CHARUDUTT N PARANJAPE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2007
Last Update Date: 06/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 WABASH AVE #492
AKRON OH
44307-2433
US

IV. Provider business mailing address

400 WABASH AVE #492
AKRON OH
44307-2433
US

V. Phone/Fax

Practice location:
  • Phone: 330-344-4800
  • Fax: 330-344-0050
Mailing address:
  • Phone: 330-344-4800
  • Fax: 330-344-0050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number35-092229
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number35-092229
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: