Individual
PANI SARANGA AKUTHOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., FAAEM
Contact information
Practice address
9000 N MAIN ST, ENGLEWOOD, OH 45415-1180
(937) 298-5536
(937) 276-8223
Mailing address
9000 N MAIN ST, ENGLEWOOD, OH 45415-1180
(937) 298-5536
(937) 276-8223
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0615105
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0615105
—
OH
01
—
250006022
MEDICARE ID
OH
Enumeration date
02/22/2006
Last updated
11/12/2024
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