Individual
MICHAEL THOMAS BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-4451
(614) 722-4565
Mailing address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-4451
(614) 722-4565
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
35046097
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105235000
MIS.
WV
05
—
0522081
—
OH
01
—
64789225
MIS.
KY
Enumeration date
06/22/2005
Last updated
09/09/2008
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