Mude, Priyanka J

Mude, Priyanka J is an sole proprietor health care provider with primary practice located at 8328 Cleveland Ave Nw , North Canton OH 44720-4820. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Mude, Priyanka J can be contacted via phone (330) 494-4949.

Contact Information

Primary practice address
8328 Cleveland Ave Nw North Canton OH 44720-4820
Phone: (330) 494-4949
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 36.110003 Ohio

Profile Details

NPI number 1770996662
LBN Legal business name Mude, Priyanka J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2014
Last updated Dec 6th, 2021 - about 3 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 1770996662 NPPES
Ohio MEDICAID 0822015

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