Organization
MOHAN R NUTHAKKI MD & ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAN R NUTHAKKI MD (PRESIDENT)
(937) 440-4210
Entity
Organization
Contact information
Practice address
3130 N DIXIE HWY, SUITE 107, TROY, OH 45373
(937) 440-4210
(937) 440-4211
Mailing address
PO BOX 712274, CINCINNATI, OH 45271-2274
(937) 440-4210
(937) 440-4211
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2342281
—
OH
Enumeration date
02/10/2006
Last updated
08/06/2008
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