Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD SO, MD
ActivePediatrics · FAIRVIEW PARK, OH
Registration Details
- NPI Number
- 1962428557
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2006 (19.77090902443 yrs)
- Last Updated
- Jan 10, 2009
- Licenses
-
35090551 (OH)35090551 (OH)
Practice Information
- Address
-
20800 WESTGATE MALLSUITE 400FAIRVIEW PARK, OH, 441261323Browse OH providers · Browse ZIP 44126
- Phone
- 4403562272
- Fax
- 4403562299
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Sleep Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.