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Individual

KUSHAL NANDAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
376 W 10TH AVE, 760 PRIOR HALL, COLUMBUS, OH 43210-1280
(614) 293-3551
Mailing address
1044 CONCORD AVE, COLUMBUS, OH 43212-2201

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1003221482
OH
207P00000X
Emergency Medicine Physician
Primary
83340
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/24/2014
Last updated
07/10/2019
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