Individual
SELVIN THEODORE JAYANTH DANIEL EZHILARASU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 CHILDRENS DR STE 6B.1, COLUMBUS, OH 43205-2639
(614) 483-0900
Mailing address
838 E LIVINGSTON AVE, COLUMBUS, OH 43205-2651
(614) 483-0900
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
APP000774963
OH
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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