Individual
JOSEPH A. PANTELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-7499
(614) 366-2360
Mailing address
700 ACKERMAN RD, SUITE 385, COLUMBUS, OH 43202-1559
(614) 947-3700
(614) 947-3771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.090201
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2757762
—
OH
Enumeration date
05/25/2007
Last updated
03/30/2011
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