Individual
SHARAN RUFUS PONNIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 SIXTH ST SW STE 710, CANTON, OH 44710-1702
(330) 454-8076
Mailing address
10111 95TH ST, OZONE PARK, NY 11416-2506
(330) 990-9276
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.126952
OH
207RI0011X
Interventional Cardiology Physician
Primary
35.126952
OH
Other
Enumeration date
08/22/2012
Last updated
06/25/2020
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