Organization
BUCKEYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANOJ SINHA (CEO)
(614) 792-6242
Entity
Organization
Contact information
Practice address
3121 W BROAD ST, COLUMBUS, OH 43204-1306
(614) 869-2002
Mailing address
6805 AVERY MUIRFIELD DR, 103, DUBLIN, OH 43016-7180
(614) 792-6242
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
10/07/2016
Last updated
02/16/2024
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