Healthcare Provider Details

I. General information

NPI: 1346984044
Provider Name (Legal Business Name): ANDRES DELGADO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2022
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 SIXTH ST SW
CANTON OH
44710-1702
US

IV. Provider business mailing address

2600 SIXTH ST SW
CANTON OH
44710-1702
US

V. Phone/Fax

Practice location:
  • Phone: 330-363-4922
  • Fax: 330-363-4914
Mailing address:
  • Phone: 330-363-4922
  • Fax: 330-363-4914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number34.018435
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: