Individual
KANCHEN LOGANATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 23RD ST, CUYAHOGA FALLS, OH 44223-1404
(330) 971-7225
Mailing address
9357 PARAGON MILLS LN, CENTERVILLE, OH 45458-4185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00000000000000
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000000000
N/A
—
Enumeration date
04/10/2022
Last updated
04/10/2022
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