Healthcare Provider Details

I. General information

NPI: 1952228124
Provider Name (Legal Business Name): SUCHITRA BISWA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 E MARKET ST
AKRON OH
44304-1526
US

IV. Provider business mailing address

370 E MARKET ST
AKRON OH
44304-1526
US

V. Phone/Fax

Practice location:
  • Phone: 330-535-3263
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code405300000X
TaxonomyPrevention Professional
License NumberRA.164890
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: