Provider Demographics
NPI:1598946477
Name:PARANJAPE, CHARUDUTT N (MD)
Entity Type:Individual
Prefix:
First Name:CHARUDUTT
Middle Name:N
Last Name:PARANJAPE
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 1:400 WABASH AVE
Mailing Address - Street 2:#492
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44307-2433
Mailing Address - Country:US
Mailing Address - Phone:330-344-4800
Mailing Address - Fax:330-344-0050
Practice Address - Street 1:400 WABASH AVE
Practice Address - Street 2:#492
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44307-2433
Practice Address - Country:US
Practice Address - Phone:330-344-4800
Practice Address - Fax:330-344-0050
Is Sole Proprietor?:No
Enumeration Date:2007-11-19
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0922292086S0102X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1841239274OtherPARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH1376779702OtherACUTE CARE SURGERY SERVICE TYPE 2 NPI #
OH2878793Medicaid
OH4245992OtherACUTE CARE SURGERY SERVICE INDIVIDUAL MEDICARE #
OH9338635OtherPARTNERS PHYSICIAN GROUP MEDICARE #
OH2551671OtherPARTNERS PHYSICIAN GROUP MEDICAID #
OH3010904OtherACUTE CARE SURGERY SERVICE AT AKRON GENERAL MEDICAID #
OH9382831OtherACUTE CARE SURGERY SERVICE AT AKRON GENERAL MEDICARE #
OH2878793Medicaid