Individual
DAMODAR POUDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7335 E LIVINGSTON AVE, REYNOLDSBURG, OH 43068-3089
(614) 328-9200
(614) 328-9300
Mailing address
1049 WESTERN AVE, PO BOX 188, CHILLICOTHE, OH 45601-1104
(740) 773-4366
(740) 775-7855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35084100P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000341674
ANTHEM
OH
05
—
2478117
—
OH
01
—
311155352
OHIO HEALTH CHOICE
OH
01
—
311155352
CENTRAL BENEFITS
—
Enumeration date
10/13/2005
Last updated
01/03/2024
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