Healthcare Provider Details

I. General information

NPI: 1952492175
Provider Name (Legal Business Name): TOTAL WOMEN'S CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 10/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1445 HARRISON AVE NW SUITE 302
CANTON OH
44708-2620
US

IV. Provider business mailing address

1445 HARRISON AVE NW SUITE 302
CANTON OH
44708-2620
US

V. Phone/Fax

Practice location:
  • Phone: 330-452-9900
  • Fax: 330-452-9945
Mailing address:
  • Phone: 330-452-9900
  • Fax: 330-452-9945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number35064484R
License Number StateOH

VIII. Authorized Official

Name: DR. PRIYABALA RAMAIAH
Title or Position: PROVIDER
Credential: MD
Phone: 330-452-9900