Individual
MANUEL TZAGOURNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
456 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 292-3800
(614) 292-1550
Mailing address
700 ACKERMAN RD, SUITE 385, COLUMBUS, OH 43202-1559
(614) 947-3700
(614) 947-3771
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35024359
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8940838
—
OH
Enumeration date
08/02/2006
Last updated
03/22/2011
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