Provider Demographics
NPI:1285829135
Name:GMA CONSULTANTS INC
Entity Type:Organization
Organization Name:GMA CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:V
Authorized Official - Last Name:PARRAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:216-695-5064
Mailing Address - Street 1:PO BOX 637282
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-7282
Mailing Address - Country:US
Mailing Address - Phone:216-801-4633
Mailing Address - Fax:440-895-7003
Practice Address - Street 1:2351 E 22ND ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115-3111
Practice Address - Country:US
Practice Address - Phone:216-363-2580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCD7837OtherPALMETTO GBA RR RETIRED
OH0868342Medicaid
OHCD7837OtherPALMETTO GBA RR RETIRED
OHCD7837OtherPALMETTO GBA RR RETIRED