Individual
SHARAT KUMAR KUSUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
340 E TOWN ST, SUITE 7-250, COLUMBUS, OH 43215-4600
(614) 566-8570
(614) 566-8548
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35093375
OH
207X00000X
Orthopaedic Surgery Physician
LT 2791
NH
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
036117745
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2939557
—
OH
05
—
30208278
—
NH
Enumeration date
12/12/2006
Last updated
01/18/2012
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