Provider Demographics
NPI:1013028125
Name:ALAPPATT, JOSE LONAPPAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:LONAPPAN
Last Name:ALAPPATT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5315 WARREN SHARON RD
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44473
Mailing Address - Country:US
Mailing Address - Phone:330-856-7189
Mailing Address - Fax:
Practice Address - Street 1:5315 WARREN SHARON RD
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:OH
Practice Address - Zip Code:44473
Practice Address - Country:US
Practice Address - Phone:330-856-7189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35040209A2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0329880Medicaid
OH0329880Medicaid
AL0431613Medicare ID - Type Unspecified