PRATHEEP PAWA MD NPI 1205878790

NPI Information

NPI: 1205878790
Provider Name: PRATHEEP PAWA, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
125 CANTON RD NW
CARROLLTON, OH
ZIP 44615
Phone: (330) 627-7641
Get Directions

Pratheep Pawa, MD is a family medicine in Carrollton, OH with 44 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Pratheep Pawa, MD NPI is 1205878790. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

125 CANTON RD NW
CARROLLTON, OH
ZIP 44615-009
Phone: (330) 627-7641
Fax: (330) 627-5796

The NPI 1205878790 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 1/19/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	204D00000X	Neuromusculoskeletal Medicine & OMM		35085326	OHIO	No
2	207Q00000X	Family Medicine		35085326	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	I51231	MEDICARE UPIN
2	4180314	MEDICARE PIN	OHIO
3	2700189	MEDICAID	OHIO
4	4180312	MEDICARE PIN	OHIO
5	P00314038	OTHER	OHIO	RAILROAD CARE
6	000000484955	OTHER	OHIO	ANTHEM, BC/BS OFFICE
7	196433	OTHER	OHIO	WELLCARE URGENT CARE
8	352588	OTHER	OHIO	WELLCARE OFFICE
9	340714684101	OTHER	OHIO	CAREOURCE URGENT CARE
10	000000386187	OTHER	OHIO	ANTHEM BC/BS URGENT CARE
11	340714684105	OTHER	OHIO	CARESOURCE OFFICE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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