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Individual

DEEPAK RAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
410 W 10TH AVE, WISHARD HOSPITAL- WEST BUILDING- M200, COLUMBUS, OH 43210-1240
(614) 293-7499
(614) 366-2360
Mailing address
700 ACKERMAN RD, SUITE 570, COLUMBUS, OH 43202-1559
(614) 293-7499

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11015977A
IN
207R00000X
Internal Medicine Physician
35.123590
OH
208M00000X
Hospitalist Physician
Primary
35123590
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0105941
OH
01
11015977A
MEDICAL LICENSE PERMIT
IN
Enumeration date
06/20/2011
Last updated
02/22/2019
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