Organization
JYOTHI PURAM, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADHUKAR NARAHARI (OWNER)
(614) 943-3839
Entity
Organization
Contact information
Practice address
1176 E HOME RD, SPRINGFIELD, OH 45503-2726
(937) 342-9861
(380) 203-1298
Mailing address
1604 LANCASTER AVE # B, REYNOLDSBURG, OH 43068-2639
(614) 943-3839
(866) 421-8583
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
64595
OH
Other
Enumeration date
10/02/2006
Last updated
12/13/2023
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