Individual
JOSEPH PRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1761 BEALL AVE STE 1, WOOSTER, OH 44691-2342
(330) 262-2800
(330) 262-2807
Mailing address
1761 BEALL AVE STE 1, WOOSTER, OH 44691-2342
(330) 262-2800
(330) 262-2807
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
205729
NY
207RX0202X
Medical Oncology Physician
Primary
35130168
OH
207RX0202X
Medical Oncology Physician
4301108930
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01863469
—
NY
05
—
0199484
—
OH
01
—
H310670
MEDICARE PIN
OH
Enumeration date
08/15/2006
Last updated
11/10/2020
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