Provider Demographics
NPI:1427312123
Name:PARADIS, CARMEN (MD)
Entity type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:
Last Name:PARADIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10311 BARTHOLOMEW RD
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-2303
Mailing Address - Country:US
Mailing Address - Phone:440-543-7457
Mailing Address - Fax:440-543-7785
Practice Address - Street 1:10311 BARTHOLOMEW RD
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023-2303
Practice Address - Country:US
Practice Address - Phone:440-543-7457
Practice Address - Fax:440-543-7785
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-27
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0432472082S0105X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand