Individual
MITALI A PAKVASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 S GRANT AVE, COLUMBUS, OH 43215-4701
(614) 566-9000
Mailing address
285 E STATE STREET, COLUMBUS, OH 43215-4354
(614) 566-9683
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35.138675
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0400911
—
OH
Enumeration date
03/23/2010
Last updated
07/20/2023
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