1457330730 NPI number — DR. RAVI M KARNANI MD

Table of content: DR. RAVI M KARNANI MD (NPI 1457330730)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457330730 NPI number — DR. RAVI M KARNANI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KARNANI
Provider First Name:
RAVI
Provider Middle Name:
M
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457330730
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/24/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
215 W BOWERY ST
Provider Second Line Business Mailing Address:
SUITE 4500
Provider Business Mailing Address City Name:
AKRON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44308-1069
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-762-7475
Provider Business Mailing Address Fax Number:
330-762-2988

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
215 W BOWERY ST
Provider Second Line Business Practice Location Address:
SUITE 4500
Provider Business Practice Location Address City Name:
AKRON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44308-1069
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-762-7475
Provider Business Practice Location Address Fax Number:
330-762-2988
Provider Enumeration Date:
01/13/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207K00000X , with the licence number:  OH35073400 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2272160 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00241335 . This is a "MEDICARE RAILROAD" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".