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NPI Code Detail

MEDICARE: DR. MARCUS A BARATIAN M.D.

MEDICARE: DR. MARCUS A BARATIAN M.D.
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
1208000000XPediatrics Physician35076745OH

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 : 1063583706
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARCUS A BARATIAN M.D.
Provider Business Mailing Address
First Line : 24701 EUCLID AVE
Second Line : THIRD FLOOR - BILLING SERVICES
City : EUCLID
State : OH
Zip : 44117-1714
Country : US
Telephone Number : 330-626-9900
Fax Number : 330-626-8048
Provider Business Practice Location Address
First Line : 9480 ROSEMONT DR STE 200
Second Line :
City : STREETSBORO
State : OH
Zip : 44241-4569
Country : US
Telephone Number : 330-626-9900
Fax Number : 330-626-8048
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2006
Last Update Date : 12/14/2020

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