Healthcare Provider Details

I. General information

NPI: 1326839119
Provider Name (Legal Business Name): NIDHI THIRUPPATHI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2025
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 7TH ST SW
CANTON OH
44710-1801
US

IV. Provider business mailing address

2600 6TH ST SW
CANTON OH
44710-1702
US

V. Phone/Fax

Practice location:
  • Phone: 330-363-6242
  • Fax: 330-363-3895
Mailing address:
  • Phone: 330-363-4922
  • Fax: 330-363-4914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number57.258377
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: