Healthcare Provider Details

I. General information

NPI: 1295649382
Provider Name (Legal Business Name): PREVENTIONONLYLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 CORPORATE DR STE 100
HUDSON OH
44236-4442
US

IV. Provider business mailing address

6521 BLACKFRIARS LN
HUDSON OH
44236-3553
US

V. Phone/Fax

Practice location:
  • Phone: 833-767-8478
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: SANEKA CHAKRAVARTY
Title or Position: FOUNDER
Credential:
Phone: 860-680-7325