Provider Demographics
NPI:1518960798
Name:HUNYADI, JAMES W (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:W
Last Name:HUNYADI
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 1:2121 HUGHES DR
Mailing Address - Street 2:STE 920
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-5140
Mailing Address - Country:US
Mailing Address - Phone:419-291-2000
Mailing Address - Fax:419-291-2017
Practice Address - Street 1:2121 HUGHES DR
Practice Address - Street 2:STE 920
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-5140
Practice Address - Country:US
Practice Address - Phone:419-291-2000
Practice Address - Fax:419-291-2017
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35049357174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH35049357OtherLICENSE NUMBER
OH0811385Medicaid
OH35049357OtherLICENSE NUMBER
341827497OtherEIN