Organization
TOTAL CARE CONNECT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYVEER SODIWAL (CREDENTIALING)
(614) 407-1614
Entity
Organization
Contact information
Practice address
2331 KEEP PL, COLUMBUS, OH 43204-4989
(614) 407-1614
Mailing address
2331 KEEP PL, COLUMBUS, OH 43204-4989
(614) 407-1614
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021705
—
OH
Enumeration date
03/22/2023
Last updated
10/03/2023
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