Barry P. Deran, M.D., Inc.

Organization Active NPI Cardiovascular Disease Physician · Maumee, OH

NPI 1629137658 · NPPES record last updated May 8, 2008

Key facts

NPI
1629137658
Entity type
Organization (NPI type 2)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
Legal business name
BARRY P. DERAN, M.D., INC.
Practice address
5705 Monclova Rd
Suite 204
Maumee, OH 43537-1875
Phone
(419) 897-7611
Fax
(419) 897-7615
NPI assigned
Dec 6, 2006
Organization subpart
No

Authorized official

Name
Barry P Deran, M.D.
Title
Owner
Phone
(419) 897-7611

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207RC0000X OH Yes

Addresses

Primary practice location

5705 Monclova Rd
Suite 204
Maumee, OH 43537-1875

Mailing address

5705 Monclova Rd
Suite 204
Maumee, OH 43537-1875
Phone (419) 897-7611

Other identifiers

IdentifierTypeStateIssuer
2634224MedicaidOH

Other providers in Maumee, OH

All providers in Maumee, OH · Cardiovascular Disease Physician in Ohio

Sources for this page

Verify at the official NPI Registry.