Individual
BENJAMIN JACOB BURKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
697 THOMAS LN, COLUMBUS, OH 43214-3931
(614) 566-5414
Mailing address
5400 FRANTZ RD STE 250, DUBLIN, OH 43016-6102
(614) 533-6497
(614) 544-6370
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
35.121349
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122464
—
OH
Enumeration date
06/16/2011
Last updated
01/25/2022
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