Individual
THEODORE V PARRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2351 E 22ND ST, CLEVELAND, OH 44115-3111
(216) 363-2580
(216) 363-2575
Mailing address
2351 E 22ND ST, CLEVELAND, OH 44115-3111
(216) 363-2580
(216) 363-2575
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
35056916
OH
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
35.056916
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000135960
ANTHEM
OH
05
—
0704116
—
OH
01
—
110142214
PALMETTO GBA RETIRED
OH
Enumeration date
12/27/2005
Last updated
04/17/2025
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