Organization
INTERNAL MEDICINE PHYSICIANS OF CENTRAL OHIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRASANNA K MUNIYAPPA M.D. (PHYSICIAN MEMBER)
(937) 642-1550
Entity
Organization
Contact information
Practice address
660 LONDON AVE, SUITE A, MARYSVILLE, OH 43040-1515
(937) 642-1550
(937) 578-2717
Mailing address
660 LONDON AVE, SUITE A, MARYSVILLE, OH 43040-1515
(937) 642-1550
(937) 578-2717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2565282
—
OH
Enumeration date
10/13/2006
Last updated
08/22/2020
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