MEDICARE: R DONTHI MD & ASSOC INC

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
1	207W00000X	Ophthalmology Physician
2	208600000X	Surgery Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	D00482542	OTHER		MEDICARE PIN

Other Identifiers

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

General Provider Information

NPI Number	:	1437195229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R DONTHI MD & ASSOC INC

Provider Business Mailing Address
First Line	:	275 GRAHAM RD
Second Line	:	STE #2
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44223-2259
Country	:	US
Telephone Number	:	330-923-5123
Fax Number	:	330-923-6654

Provider Business Practice Location Address
First Line	:	275 GRAHAM RD
Second Line	:	STE #2
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44223-2259
Country	:	US
Telephone Number	:	330-923-5123
Fax Number	:	330-923-6654

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	KIRAN R DONTHI
Credential	:	MD
Telephone Number	:	330-923-5123

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	04/30/2010

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Directions to “R DONTHI MD & ASSOC INC ” Practice Location

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