Individual
INDERPAL S THETHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1003 BELLEFONTAINE AVE STE 150, LIMA, OH 45804-1871
(419) 998-8295
(419) 226-8323
Mailing address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 998-4575
(419) 998-4514
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35.094974
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
57614
TN
207RP1001X
Pulmonary Disease Physician
Primary
35.094974
OH
207RP1001X
Pulmonary Disease Physician
57614
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.094974
OH MEDICAL LICENSE
OH
Enumeration date
06/06/2007
Last updated
04/30/2021
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