Individual
DR. MOHAN THANIKACHALAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
311 N DREXEL AVE, COLUMBUS, OH 43209-1430
(614) 440-7421
Mailing address
311 NORTH DREXEL AVENUE, COLUMBUS, OH 43209
(614) 440-7421
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME79108
FL
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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