Healthcare Provider Details

I. General information

NPI: 1285829135
Provider Name (Legal Business Name): GMA CONSULTANTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2007
Last Update Date: 12/23/2021
Certification Date: 12/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2351 E 22ND ST
CLEVELAND OH
44115-3111
US

IV. Provider business mailing address

PO BOX 637282
CINCINNATI OH
45263-7282
US

V. Phone/Fax

Practice location:
  • Phone: 216-363-2580
  • Fax:
Mailing address:
  • Phone: 216-801-4633
  • Fax: 440-895-7003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. THEODORE V PARRAN JR.
Title or Position: CEO
Credential: MD
Phone: 216-695-5064