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Individual

DR. ALBERT PRADEEP MANUDHANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
395 W 12TH AVE FL 2, COLUMBUS, OH 43210-1267
(614) 293-6255
(614) 293-8518
Mailing address
395 W 12TH AVE FL 2, COLUMBUS, OH 43210-1267
(614) 293-6255
(614) 293-8518

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.144238
OH
207R00000X
Internal Medicine Physician
LP04519
RI

Other

Enumeration date
05/21/2019
Last updated
06/15/2022
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