Individual
LORETTA R ISADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4125 MEDINA RD, AKRON, OH 44333-2483
(330) 665-8222
(330) 666-2599
Mailing address
4125 MEDINA RD, AKRON, OH 44333-2483
(330) 665-8222
(330) 666-2599
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35-057341
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0884815
—
OH
01
—
1841239274
MEDICARE GROUP NPI #
OH
01
—
2551671
PPG MEDICAID GROUP #
OH
01
—
9338635
MEDICARE GROUP NUMBER
OH
Enumeration date
01/19/2006
Last updated
09/09/2010
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