Individual
KISHORE NALLU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
730 W MARKET ST STE 2K, LIMA, OH 45801-4602
(419) 996-5852
(419) 996-5854
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-6930
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53627
CT
207RC0000X
Cardiovascular Disease Physician
Primary
35131382
OH
Other
Enumeration date
01/09/2013
Last updated
07/14/2017
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