=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275748253
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MEENA ARORA RAWAL D.O
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/11/2007
-----------------------------------------------------
Last Update Date | 07/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4048 DRESSLER RD NW STE 203
-----------------------------------------------------
City | CANTON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44718-2784
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-456-9939
-----------------------------------------------------
Fax | 330-456-3212
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4048 DRESSLER RD NW STE 203
-----------------------------------------------------
City | CANTON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44718-2784
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-456-9939
-----------------------------------------------------
Fax | 330-456-3212
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number | 34.008837
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------