Provider Demographics
NPI:1356310247
Name:FALTAY, BELA (MD)
Entity Type:Individual
Prefix:
First Name:BELA
Middle Name:
Last Name:FALTAY
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 1:520 SOUTH MAIN ST
Mailing Address - Street 2:SUITE 2446A
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311
Mailing Address - Country:US
Mailing Address - Phone:330-253-7415
Mailing Address - Fax:330-253-5260
Practice Address - Street 1:520 SOUTH MAIN ST
Practice Address - Street 2:SUITE 2436B
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311
Practice Address - Country:US
Practice Address - Phone:330-252-9310
Practice Address - Fax:330-252-9360
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35076848207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2401654Medicaid
OH2401654Medicaid