Provider Demographics
NPI:1124245022
Name:BROJESH C PAKRASHI M.D. INC
Entity type:Organization
Organization Name:BROJESH C PAKRASHI M.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BROJESH
Authorized Official - Middle Name:C
Authorized Official - Last Name:PAKRASHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-887-0646
Mailing Address - Street 1:6688 RIDGE RD
Mailing Address - Street 2:#1420
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-5706
Mailing Address - Country:US
Mailing Address - Phone:440-887-0646
Mailing Address - Fax:440-887-0636
Practice Address - Street 1:6688 RIDGE RD
Practice Address - Street 2:#1420
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-5706
Practice Address - Country:US
Practice Address - Phone:440-887-0646
Practice Address - Fax:440-887-0636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-043413207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0389388Medicaid
OH0389388Medicaid
OHA80011Medicare UPIN
OH0835603Medicare PIN