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General NPI Number Information
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NPI Number | 1982656005
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Entity Type | Individual
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Provider Name | BELAGODU N KANTHARAJ MD
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 41201 SCHADDEN ROAD SUITE 2
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City | ELYRIA
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State | OH
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Zip | 44035-2220
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Country | US
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Telephone | 440-324-0401
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Fax | 440-324-0405
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Provider Business Mailing Address
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Address Line | 36446 N RESERVE CIR
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City | AVON
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State | OH
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Zip | 44011-2820
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Country | US
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Telephone | 440-823-5966
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 46026
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 46026
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License Number State | OH
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