Individual
DR. ADOLFO ETCHEGARAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
75.000038
OH
207VM0101X
Maternal & Fetal Medicine Physician
Primary
75.000038
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0496423
—
OH
01
—
H924020
CGS - MEDICARE
OH
Enumeration date
07/12/2022
Last updated
08/16/2022
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