Organization
R DONTHI MD & ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRAN R DONTHI MD (VICE PRESIDENT)
(330) 923-5123
Entity
Organization
Contact information
Practice address
275 GRAHAM RD, STE #2, CUYAHOGA FALLS, OH 44223-2259
(330) 923-5123
(330) 923-6654
Mailing address
275 GRAHAM RD, STE #2, CUYAHOGA FALLS, OH 44223-2259
(330) 923-5123
(330) 923-6654
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0417454
—
OH
05
—
0475972
—
OH
01
—
D00482542
MEDICARE PIN
—
Enumeration date
06/21/2006
Last updated
04/30/2010
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