Individual
JOEL THEKEKARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4777 E. GALBRAITH ROAD, CINCINNATI, OH 45236
(513) 686-6860
(513) 686-6868
Mailing address
4777 E. GALBRAITH ROAD, CINCINNATI, OH 45236
(513) 686-6860
(513) 686-6868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2022004642
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2018
Last updated
08/29/2022
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