Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 35078429P | OH |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 35078429 | OH |
NPI | 1003808080 |
---|---|
Provider Name | Dr. Michael A Pelini |
First Address | Akron, OH 44308-2038 |
Second Address | Akron, OH 44304-1473 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2005 |
Last Update Date | 22/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2203332 | (05) | OH |
4026496 | MEDICARE ID (01) | OH |
H19808 | (02) | OH |