Provider Demographics
NPI:1952492175
Name:TOTAL WOMEN'S CARE, INC
Entity Type:Organization
Organization Name:TOTAL WOMEN'S CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:PRIYABALA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMAIAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-452-9900
Mailing Address - Street 1:1445 HARRISON AVE NW
Mailing Address - Street 2:SUITE 302
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-2620
Mailing Address - Country:US
Mailing Address - Phone:330-452-9900
Mailing Address - Fax:330-452-9945
Practice Address - Street 1:1445 HARRISON AVE NW
Practice Address - Street 2:SUITE 302
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-2620
Practice Address - Country:US
Practice Address - Phone:330-452-9900
Practice Address - Fax:330-452-9945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35064484R207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0925388Medicaid
OH9324291Medicare ID - Type UnspecifiedCANTON GROUP #
OH0925388Medicaid