# THEODORE V PARRAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1811974348
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | 35056916 | OH | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | 35.056916 | OH | — |

## Other

- **Enumeration date:** 12/27/2005
- **Last updated:** 04/17/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000135960 | ANTHEM | OH |
| 05 | — | 0704116 | — | OH |
| 01 | — | 110142214 | PALMETTO GBA RETIRED | OH |