Healthcare Provider Details

I. General information

NPI: 1992888911
Provider Name (Legal Business Name): GEORGE PETER PARRAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 03/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26908 DETROIT RD #105
WESTLAKE OH
44145-2398
US

IV. Provider business mailing address

26908 DETROIT RD #105
WESTLAKE OH
44145-2398
US

V. Phone/Fax

Practice location:
  • Phone: 440-892-6588
  • Fax: 440-892-8721
Mailing address:
  • Phone: 440-892-6588
  • Fax: 440-892-8721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2082S0099X
TaxonomyPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
License Number59468
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: