Basic Information
Provider Information
NPI: 1558727917
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KUMARALINGAM
FirstName: PRADEEP
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1900 S MAIN ST
Address2:  
City: FINDLAY
State: OH
PostalCode: 458401214
CountryCode: US
TelephoneNumber: 4194235262
FaxNumber: 4194235550
Practice Location
Address1: 1900 S MAIN ST
Address2:  
City: FINDLAY
State: OH
PostalCode: 458401214
CountryCode: US
TelephoneNumber: 4194235262
FaxNumber: 4194235550
Other Information
ProviderEnumerationDate: 01/14/2016
LastUpdateDate: 08/19/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/19/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X35.128963OHN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X2020010537MON Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X2020010537MON Allopathic & Osteopathic PhysiciansHospitalist 
208M00000X35.128963OHY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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