Deran, Barry P

Deran, Barry P is an sole proprietor health care provider with primary practice located at 5705 Monclova Rd Suite 204, Maumee OH 43537-1875. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Deran, Barry P can be contacted via phone (419) 897-7611.

Contact Information

Primary practice address
5705 Monclova Rd Suite 204 Maumee OH 43537-1875
Fax: (419) 897-7615
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35055640 Ohio

Profile Details

NPI number 1649263963
LBN Legal business name Deran, Barry P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2005
Last updated May 8th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649263963 NPPES
Ohio MEDICAID 0679207

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