Individual
DR. GEETHA CONJEEVARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 HOSPITAL DR, SUITE 350, ATHENS, OH 45701-2857
(740) 592-4491
(740) 592-4844
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
(614) 544-6155
(614) 544-6370
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-78271
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2208248
—
OH
01
—
CO4026061
MEDICARE PROVIDER NUMBER
—
Enumeration date
05/23/2005
Last updated
01/25/2022
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