Provider Demographics
NPI:1427554153
Name:MERCHANT, PAUL THOMAS
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:THOMAS
Last Name:MERCHANT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVE # Q7
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:513-584-4505
Mailing Address - Fax:216-636-4492
Practice Address - Street 1:9500 EUCLID AVE # Q7
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-2364
Practice Address - Country:US
Practice Address - Phone:216-444-5040
Practice Address - Fax:216-636-4492
Is Sole Proprietor?:No
Enumeration Date:2018-04-02
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.147903207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology