Provider Demographics
NPI:1992888911
Name:PARRAS, GEORGE PETER (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:PETER
Last Name:PARRAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26908 DETROIT RD
Mailing Address - Street 2:#105
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-2398
Mailing Address - Country:US
Mailing Address - Phone:440-892-6588
Mailing Address - Fax:440-892-8721
Practice Address - Street 1:26908 DETROIT RD
Practice Address - Street 2:#105
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-2398
Practice Address - Country:US
Practice Address - Phone:440-892-6588
Practice Address - Fax:440-892-8721
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH594682082S0099X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0791746Medicaid
OHE19198Medicare UPIN
OHPA0674621Medicare ID - Type Unspecified