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NPI Code Detail

MEDICARE: THIRUVENGADAM KULASEKARAN MD

MEDICARE: THIRUVENGADAM KULASEKARAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0402XNeurology with Special Qualifications in Child Neurology Physician35046455KOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013991843
Entity Type Code : Individual
Provider Name (Legal Business Name) : THIRUVENGADAM KULASEKARAN MD
Provider Business Mailing Address
First Line : 300 LOCUST ST
Second Line : SUITE 150
City : AKRON
State : OH
Zip : 44302-1821
Country : US
Telephone Number : 330-253-2113
Fax Number : 330-253-2362
Provider Business Practice Location Address
First Line : 300 LOCUST ST
Second Line : SUITE 150
City : AKRON
State : OH
Zip : 44302-1821
Country : US
Telephone Number : 330-253-2113
Fax Number : 330-253-2362
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 03/15/2011

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Directions to “ THIRUVENGADAM KULASEKARAN MD” Practice Location

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