Individual
ANIL KUMAR MUDDADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
750 W HIGH ST, SUITE 150, LIMA, OH 45801-2969
(419) 227-1359
(419) 227-7586
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-6930
(513) 981-5123
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2011017861
MO
207RN0300X
Nephrology Physician
Primary
35122892
OH
Other
Enumeration date
09/01/2009
Last updated
06/27/2023
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