Provider Demographics
NPI:1578557492
Name:ERULKAR, RUTH S (MD)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:S
Last Name:ERULKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3454 OAK ALLEY CT
Mailing Address - Street 2:SUITE 108
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1306
Mailing Address - Country:US
Mailing Address - Phone:419-531-5536
Mailing Address - Fax:419-531-0847
Practice Address - Street 1:3454 OAK ALLEY CT
Practice Address - Street 2:SUITE 108
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1306
Practice Address - Country:US
Practice Address - Phone:419-531-5536
Practice Address - Fax:419-531-0847
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-07
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350485622084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0538243OtherMEDICARE PTAN
OH9288812OtherMEDICARE GROUP #
OH1578557492OtherNPI-RUTH S. ERULKAR, M.D.
OH0530447Medicaid
OH9288812OtherMEDICARE GROUP #
OHER0538244Medicare PIN