Individual
DR. JOSEPH MEKKATTUKULAM JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 W HIGH ST STE 390, LIMA, OH 45801-3988
(419) 226-9610
(419) 226-9602
Mailing address
355 E OHIO ST STE 118, INDIANAPOLIS, IN 46204-2145
(419) 296-1470
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01087918A
IN
207RI0200X
Infectious Disease Physician
Primary
35.145135
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
03/29/2019
Last updated
06/25/2024
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