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Individual

DR. MULAKKAN D YOHANNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 CHILDRENS PLZ, RM 4085, DAYTON, OH 45404-1898
(937) 641-3414
(937) 641-5446
Mailing address
PO BOX 643727, CINCINNATI, OH 45264-0309
(937) 641-3414
(937) 641-5446

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35.065664Y
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0963284
OH
Enumeration date
09/27/2006
Last updated
07/08/2007
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