Individual
TRIKANNAD S PRASHANTHKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 MICHIGAN ST STE 100, SIDNEY, OH 45365-2401
(937) 498-5384
(937) 492-8093
Mailing address
915 WEST MICHIGAN ST, SIDNEY, OH 45365-2401
(937) 498-5384
(937) 492-8093
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35-071509
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2003852
—
OH
Enumeration date
05/10/2006
Last updated
12/16/2020
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