1346242070 NPI number — MRS. PRIYADHARSHINI UMAPATHY M.D.

Table of content: MRS. PRIYADHARSHINI UMAPATHY M.D. (NPI 1346242070)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346242070 NPI number — MRS. PRIYADHARSHINI UMAPATHY M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
UMAPATHY
Provider First Name:
PRIYADHARSHINI
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

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:
1346242070
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/09/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
03/22/2006
NPI Reactivation Date:
04/10/2006

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
88 CENTER RD
Provider Second Line Business Mailing Address:
#350
Provider Business Mailing Address City Name:
BEDFORD
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44146
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
440-439-7766
Provider Business Mailing Address Fax Number:
440-439-1375

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
88 CENTER RD
Provider Second Line Business Practice Location Address:
#350
Provider Business Practice Location Address City Name:
BEDFORD
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44146
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
440-439-7766
Provider Business Practice Location Address Fax Number:
440-439-1375
Provider Enumeration Date:
08/12/2005

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: 207R00000X , with the licence number:  35077657 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X , with the licence number: 35-077657 , 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: 2357346 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com