Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 35.131488 | OH |
NPI | 1023451846 |
---|---|
Provider Name | Adrian Alonso Ochoa |
First Address | Cuyahoga Falls, OH 44221-3227 |
Second Address | Cuyahoga Falls, OH 44221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2013 |
Last Update Date | 02/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0122241 | (05) | OH |