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Individual

ANNADORAI KALAHASTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6251 GOOD SAMARITAN WAY, SUITE 210 A, HUBER HEIGHTS, OH 45424-1051
(937) 233-2009
(937) 233-8389
Mailing address
6251 MIAMI VALLEY WAY, SUITE 210A, HUBER HEIGHTS, OH 45424
(937) 233-2009
(937) 233-9182

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.074814
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2108883
OH
Enumeration date
05/26/2006
Last updated
10/23/2020
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