Individual
DR. ANITA JEYAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8423 MARKET ST STE 210, BOARDMAN, OH 44512-6778
(330) 729-1934
(330) 729-1861
Mailing address
8423 MARKET ST STE 210, BOARDMAN, OH 44512-6778
(330) 729-1934
(330) 729-1861
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35.087978
OH
207YP0228X
Pediatric Otolaryngology Physician
35.087978
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2678115
—
OH
Enumeration date
09/01/2006
Last updated
01/25/2024
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