Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 35-032148 | OH |
N | 208600000X | Surgeon | 35-032148 | OH |
Y | 2086X0206X | Surgical Oncologist | 35-032148 | OH |
NPI | 1467691998 |
---|---|
Provider Name | Celso M Carandang |
First Address | Independence, OH 44131-2182 |
Second Address | Cleveland, OH 44195-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2009 |
Last Update Date | 06/02/2009 |