Individual
KRIS R JATANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-6200
(614) 722-6560
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
35087530
OH
207YP0228X
Pediatric Otolaryngology Physician
Primary
35087530
OH
208600000X
Surgery Physician
35087530
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2674173
—
OH
01
—
H139060
CGS - MEDICARE
OH
Enumeration date
06/08/2006
Last updated
11/19/2024
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