Provider Demographics
NPI:1497722854
Name:PARAS, ANTONIOS (MD)
Entity Type:Individual
Prefix:
First Name:ANTONIOS
Middle Name:
Last Name:PARAS
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 1:20525 CENTER RIDGE ROAD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:ROCKY RIVER
Mailing Address - State:OH
Mailing Address - Zip Code:44116
Mailing Address - Country:US
Mailing Address - Phone:440-895-5056
Mailing Address - Fax:440-333-2935
Practice Address - Street 1:25200 CENTER RIDGE RD
Practice Address - Street 2:SUITE 2300
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-4141
Practice Address - Country:US
Practice Address - Phone:440-331-5053
Practice Address - Fax:440-331-9531
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35047318P207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
110135584OtherRR MEDICARE INDIVIDUAL
0119204OtherGROUP MEDICAID
10797209OtherCAQH
3610861OtherGROUP ASC MEDICARE
4007741OtherAETNA
1780634279OtherGROUP NPI
000000031812OtherANTHEM
CA4511OtherRR MEDICARE GROUP
102571OtherKAISER
D368301OtherMEDICARE IND DIAGNOSTICS
OH0510718Medicaid
34-1783789OtherGROUP TAX ID
9273172OtherGROUP MEDICARE
1780634279OtherGROUP NPI
OH0510718Medicaid