Provider Demographics
NPI:1841420635
Name:TIROUNILACANDIN, PAZHANIAANDI (MD)
Entity type:Individual
Prefix:
First Name:PAZHANIAANDI
Middle Name:
Last Name:TIROUNILACANDIN
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:PO BOX 92987
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44194-5047
Mailing Address - Country:US
Mailing Address - Phone:440-997-2262
Mailing Address - Fax:319-272-2107
Practice Address - Street 1:5201 SPIRE CIR STE 200
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:OH
Practice Address - Zip Code:44041-7130
Practice Address - Country:US
Practice Address - Phone:440-466-8933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-15
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.099713207Q00000X
IA39696207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine