Organization
NERVES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUNWANT S MALLIK MD (OWNER PHYSICIAN)
(614) 942-0132
Entity
Organization
Contact information
Practice address
450 ALKYRE RUN, SUITE 300, WESTERVILLE, OH 43082-6909
(614) 942-0132
(614) 942-0139
Mailing address
PO BOX 712844, CINCINNATI, OH 45271-2844
(614) 942-0132
(614) 942-0139
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35070094
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2756218
—
OH
Enumeration date
05/15/2007
Last updated
03/26/2008
Update your record
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