| Hl Krupadev Md | |
|
408 Third Street Marietta OH 45750 | |
| (740) 373-5119 | |
| Not Available |
| Full Name | Hl Krupadev Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 408 Third Street, Marietta, Ohio |
| Authorized Official Name and Position | Pamela L Kehl (OFFICE MANAGER) |
| Authorized Official Contact | 7403735119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hl Krupadev Md 408 Third Street Marietta OH 45750 Ph: (740) 373-5119 | Hl Krupadev Md 408 Third Street Marietta OH 45750 Ph: (740) 373-5119 |
| NPI Number | 1215054200 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 04/27/2011 |
| Medicare PECOS PAC ID | 9931119716 |
|---|---|
| Medicare Enrollment ID | O20060424000352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215054200 | NPI | - | NPPES |
| 0445923 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35042059K (Ohio) | Primary |
| Provider Name | Hitnebagilu L Krupadev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710900790 PECOS PAC ID: 4385654169 Enrollment ID: I20060424000357 |
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