Healthcare Provider Details

I. General information

NPI: 1457288714
Provider Name (Legal Business Name): PRIYA PARDASANI MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PERKINS SQUARE AKRON, OH 44308
AKRON OH
44308
US

IV. Provider business mailing address

215 WEST BOWERY STREET, DEPARTMENT OF MEDICAL EDUCATION 2ND FLOOR, CONSIDINE PROFESSIONAL BUILDING
AKRON OH
44308
US

V. Phone/Fax

Practice location:
  • Phone: 330-543-3369
  • Fax:
Mailing address:
  • Phone: 234-245-0450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: