Amith Mulkanoor, MD | |
5100 W Broad St, Columbus, OH 43228-1607 | |
(614) 544-2058 | |
Not Available |
Full Name | Amith Mulkanoor |
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Gender | Male |
Speciality | Hospitalist |
Location | 5100 W Broad St, Columbus, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922637362 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208M00000X | Hospitalist | 35.148554 (Ohio) | Primary |
Entity Name | Ohiohealth Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
Mailing Address | Practice Location Address |
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Amith Mulkanoor, MD Po Box 7527, Dublin, OH 43017-0727 Ph: () - | Amith Mulkanoor, MD 5100 W Broad St, Columbus, OH 43228-1607 Ph: (614) 544-2058 |
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