Individual
JAYANTA MUKHERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3705 OLENTANGY RIVER RD, SUITE 100, COLUMBUS, OH 43214-3467
(614) 262-6772
(614) 447-2752
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(614) 544-6356
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2012-01161
NC
207R00000X
Internal Medicine Physician
35125188
OH
207R00000X
Internal Medicine Physician
MD427613
PA
207RC0000X
Cardiovascular Disease Physician
Primary
35125188
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2650171
—
OH
05
—
5922077
—
NC
05
—
NC1745
—
SC
Enumeration date
09/01/2006
Last updated
11/19/2024
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