Individual
DR. PETER J KOBALKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-5905
(614) 293-4715
Mailing address
700 ACKERMAN RD STE 570, COLUMBUS, OH 43202-1579
(614) 293-8375
(614) 293-4715
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
35131468
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35131468
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0222640
—
OH
Enumeration date
04/14/2010
Last updated
07/21/2022
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