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Individual

DR. BELAGODU N KANTHARAJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
41201 SCHADDEN ROAD, SUITE 2, ELYRIA, OH 44035-2220
(440) 324-0401
(440) 324-0405
Mailing address
36446 N RESERVE CIR, AVON, OH 44011-2820
(440) 823-5966

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
46026
OH
207RX0202X
Medical Oncology Physician
46026
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000139923
ANTHEM
OH
05
045367
OH
01
15615
OHIO HEALTH CHOICE
OH
01
3000075
UNITED HEALTHCARE
OH
01
341832420029
CARESOURCE
OH
01
50947
QUAL CHOICE
OH
01
830002969
RAILROAD MEDICARE
OH
01
E46046
SUMMACARE
OH
Enumeration date
05/17/2006
Last updated
05/10/2023
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