Provider Demographics
NPI:1265411912
Name:ENGLENDER SPER & DRASNIN, M.D.'S INC
Entity type:Organization
Organization Name:ENGLENDER SPER & DRASNIN, M.D.'S INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:P
Authorized Official - Last Name:RAKEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-248-1210
Mailing Address - Street 1:905 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-5049
Mailing Address - Country:US
Mailing Address - Phone:513-248-1210
Mailing Address - Fax:513-248-3065
Practice Address - Street 1:905 MAIN ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-5049
Practice Address - Country:US
Practice Address - Phone:513-248-1210
Practice Address - Fax:513-248-3065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH039602208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH578398Medicaid