Prodafikas, John

Prodafikas, John is an individual health care provider with primary practice located at 2600 6Th St Sw Suite A2-710, Canton OH 44710-1702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Prodafikas, John can be contacted via phone (330) 454-8076.

Contact Information

Primary practice address
2600 6Th St Sw Suite A2-710 Canton OH 44710-1702
Fax: (330) 454-3927
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35-08-2153 Ohio

Profile Details

NPI number 1831178813
LBN Legal business name Prodafikas, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Apr 17th, 2008 - about 16 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 1831178813 NPPES
Ohio MEDICAID 2388009

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