Healthcare Provider Details

I. General information

NPI: 1700928843
Provider Name (Legal Business Name): KHALID DARR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: KHALID DARR MD

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 06/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5510 PEARL RD STE 205
PARMA OH
44129-2550
US

IV. Provider business mailing address

5510 PEARL RD STE 205
PARMA OH
44129-2550
US

V. Phone/Fax

Practice location:
  • Phone: 440-842-7602
  • Fax: 440-842-7605
Mailing address:
  • Phone: 440-842-7602
  • Fax: 440-842-7605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number35.032997
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: