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Individual

DR. NIMISHA PAUL THULUVATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
601 S EDWIN MOSES BLVD, DAYTON, OH 45417-3424
(937) 734-8333
Mailing address
601 S EDWIN MOSES BLVD, DAYTON, OH 45417-3424
(937) 734-8333

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
57.024711
OH
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/28/2014
Last updated
08/02/2018
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