Individual
ANURADHA R MULPURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2150 MARBLE CLIFF OFFICE PARK, SUITE250, COLUMBUS, OH 43215-1922
(614) 487-0210
(614) 487-0271
Mailing address
2150 MARBLE CLIFF OFFICE PARK, SUITE250, COLUMBUS, OH 43215-1922
(614) 487-0210
(614) 487-0271
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01054671A
IN
207R00000X
Internal Medicine Physician
Primary
35-125104
OH
207R00000X
Internal Medicine Physician
4301093380
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639147655
—
MI
05
—
200338630A
—
IN
01
—
M59880022
MEDICARE PTAN
MI
Enumeration date
03/08/2006
Last updated
12/22/2015
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