Healthcare Provider Details

I. General information

NPI: 1982933651
Provider Name (Legal Business Name): SUMMIT PULMONARY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2009
Last Update Date: 12/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91 5TH ST SE
BARBERTON OH
44203
US

IV. Provider business mailing address

91 5TH ST SE
BARBERTON OH
44203
US

V. Phone/Fax

Practice location:
  • Phone: 330-753-1383
  • Fax: 330-753-1499
Mailing address:
  • Phone: 330-753-1383
  • Fax: 330-753-1499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMAD AKRAM DAR
Title or Position: PRESIDENT
Credential: MD
Phone: 330-753-1383