Individual
BENJAMIN KUTTIKATT POULOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 ZOLLINGER RD, COLUMBUS, OH 43221-2849
(614) 293-3230
(614) 293-4030
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-3230
(614) 293-4030
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35089610
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0302346
—
OH
Enumeration date
01/04/2007
Last updated
02/05/2021
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