Provider Demographics
NPI:1265647218
Name:UNIVERSITY OF TOLEDO,MEDICAL CENTRE
Entity Type:Organization
Organization Name:UNIVERSITY OF TOLEDO,MEDICAL CENTRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NOOR
Authorized Official - Middle Name:
Authorized Official - Last Name:PIRZADA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-383-3544
Mailing Address - Street 1:1819 S BYRNE RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-3608
Mailing Address - Country:US
Mailing Address - Phone:419-382-4837
Mailing Address - Fax:419-383-3093
Practice Address - Street 1:3120 GLENDALE AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-5811
Practice Address - Country:US
Practice Address - Phone:419-383-3848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
282N00000X
OH57.07979282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered282N00000XHospitalsGeneral Acute Care Hospital
Not Answered282NC0060XHospitalsGeneral Acute Care HospitalCritical Access