Provider Demographics
NPI:1760667141
Name:ALAGARSAMY VEERAPPAN, SUGANTHI (MD)
Entity type:Individual
Prefix:
First Name:SUGANTHI
Middle Name:
Last Name:ALAGARSAMY VEERAPPAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SUGANTHI
Other - Middle Name:ALAGARSAMY
Other - Last Name:VEERAPPAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4774 MUNSON ST NW
Mailing Address - Street 2:STE 103
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-3634
Mailing Address - Country:US
Mailing Address - Phone:330-754-4431
Mailing Address - Fax:
Practice Address - Street 1:75 ARCH ST
Practice Address - Street 2:STE G2
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1429
Practice Address - Country:US
Practice Address - Phone:330-375-4100
Practice Address - Fax:330-375-4097
Is Sole Proprietor?:No
Enumeration Date:2008-01-04
Last Update Date:2019-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35122476207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0093920Medicaid
OH0093920Medicaid