Provider Demographics
NPI:1477865285
Name:PALANI, GURUNANTHAN (MD, FACP)
Entity Type:Individual
Prefix:DR
First Name:GURUNANTHAN
Middle Name:
Last Name:PALANI
Suffix:
Gender:M
Credentials:MD, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-1822
Mailing Address - Country:US
Mailing Address - Phone:220-564-1740
Mailing Address - Fax:220-564-1741
Practice Address - Street 1:1272 W MAIN ST STE 204
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-2055
Practice Address - Country:US
Practice Address - Phone:220-564-1740
Practice Address - Fax:220-564-1741
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-09
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.141262207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty