Organization
NEERA PRAHLAD AGARWAL ANTAL MD INC.
Active
Other names
Hudson Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
GINA LESLIE (BILLING SPECIALIST)
(330) 386-9300
Entity
Organization
Contact information
Practice address
1325 CORPORATE DR STE A, HUDSON, OH 44236-4432
(330) 386-9300
(330) 386-9302
Mailing address
PO BOX 74666, CLEVELAND, OH 44194-0002
(330) 386-9300
(330) 386-9302
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101265
KAISER
OH
Enumeration date
10/24/2007
Last updated
03/12/2008
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