Provider Demographics
NPI:1407847817
Name:SANCHEZ-PARODI, MILTON (MD)
Entity Type:Individual
Prefix:DR
First Name:MILTON
Middle Name:
Last Name:SANCHEZ-PARODI
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 1:1975 E WESTERN RESERVE RD
Mailing Address - Street 2:UNIT 4
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-5220
Mailing Address - Country:US
Mailing Address - Phone:330-757-8900
Mailing Address - Fax:330-757-8960
Practice Address - Street 1:1975 E WESTERN RESERVE RD
Practice Address - Street 2:UNIT A-4
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-5220
Practice Address - Country:US
Practice Address - Phone:330-757-8900
Practice Address - Fax:330-757-8960
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-03
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35058752207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0757631Medicaid
OH000000137721OtherANTHEM BLUE CROSS BLUE SH
OH080053373OtherRAILROAD MEDICARE
OHE75456Medicare UPIN
OH0757631Medicaid