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Individual

GAJANTHAN MUTHUVEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3333 BURNET AVE ML 7012, CINCINNATI, OH 45229
(513) 636-4744
(513) 636-7486
Mailing address
3333 BURNET AVE, CINCINNATI, OH 45229-3026

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.135689
OH
208000000X
Pediatrics Physician
62591
MN
2080P0205X
Pediatric Endocrinology Physician
Primary
35.135689
OH

Other

Enumeration date
04/08/2016
Last updated
08/29/2022
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