Individual
DR. HIMALAYA PATCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E MAIN ST, BARNESVILLE, OH 43713-1005
(740) 425-5160
Mailing address
101 E MAIN ST, BARNESVILLE, OH 43713-1005
(740) 425-5160
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.065225
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0928376
—
OH
01
—
PA2009882
MEDICARE FQHC PIN
OH
Enumeration date
05/18/2006
Last updated
09/16/2021
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