Individual
VASANT BETKERUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 TUSCARAWAS ST W, SUITE 400, CANTON, OH 44708-4644
(330) 458-2000
(330) 458-2010
Mailing address
2600 TUSCARAWAS ST W, SUITE 400, CANTON, OH 44708-4644
(330) 458-2000
(330) 458-2010
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35046020B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0461727
—
OH
Enumeration date
06/17/2006
Last updated
03/12/2008
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