Individual
PETER MALCOLM CUCKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-6630
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
80.000081
OH
2088P0231X
Pediatric Urology Physician
Primary
80.000081
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093502
—
OH
Enumeration date
10/30/2024
Last updated
03/18/2026
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