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Individual

MANISH I KOYAWALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
275 TAYLOR STATION RD, COLUMBUS, OH 43213-1445
(614) 523-2211
(614) 523-2288
Mailing address
124 DORCHESTER SQ S, WESTERVILLE, OH 43081-7302
(614) 523-2211
(614) 523-2288

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35064869K
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0952947
OH
Enumeration date
10/21/2005
Last updated
04/11/2008
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