Provider Demographics
NPI:1255523395
Name:MILTON SANCHEZ-PARODI MD
Entity type:Organization
Organization Name:MILTON SANCHEZ-PARODI MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MILTON
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ-PARODI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-757-8900
Mailing Address - Street 1:1975 E WESTERN RESERVE RD
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-5220
Mailing Address - Country:US
Mailing Address - Phone:330-757-8900
Mailing Address - Fax:330-757-8960
Practice Address - Street 1:1975 E WESTERN RESERVE RD
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-5220
Practice Address - Country:US
Practice Address - Phone:330-757-8900
Practice Address - Fax:330-757-8960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35058752207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH080053373OtherRAILROAD MEDICARE
OH0057265Medicaid
OH0057265Medicaid
OH0659813Medicare PIN