Individual
ANTONIOS PARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25200 CENTER RIDGE RD, SUITE 2300, WESTLAKE, OH 44145-4141
(440) 331-5053
(440) 331-9531
Mailing address
20525 CENTER RIDGE ROAD, SUITE 220, ROCKY RIVER, OH 44116
(440) 895-5056
(440) 333-2935
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35047318P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000031812
ANTHEM
—
01
—
0119204
GROUP MEDICAID
—
05
—
0510718
—
OH
01
—
102571
KAISER
—
01
—
10797209
CAQH
—
01
—
110135584
RR MEDICARE INDIVIDUAL
—
01
—
1780634279
GROUP NPI
—
01
—
34-1783789
GROUP TAX ID
—
01
—
3610861
GROUP ASC MEDICARE
—
01
—
4007741
AETNA
—
01
—
9273172
GROUP MEDICARE
—
01
—
CA4511
RR MEDICARE GROUP
—
01
—
D368301
MEDICARE IND DIAGNOSTICS
—
Enumeration date
03/03/2006
Last updated
05/16/2008
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