Provider Demographics
NPI:1558349159
Name:KEREK, WILLIAM BALINT (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:BALINT
Last Name:KEREK
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 1:468 E MARKET ST
Mailing Address - Street 2:STE C
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1594
Mailing Address - Country:US
Mailing Address - Phone:330-376-4445
Mailing Address - Fax:330-376-0464
Practice Address - Street 1:468 E MARKET ST
Practice Address - Street 2:STE C
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1594
Practice Address - Country:US
Practice Address - Phone:330-376-4445
Practice Address - Fax:330-376-0464
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-04
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH40905207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0482839Medicaid
OH0443002Medicare PIN
OH0482839Medicaid