Individual
SUVARNAMALA PUSHKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1036 S VERITY PKWY, MIDDLETOWN, OH 45044-5513
(513) 454-1111
Mailing address
PO BOX 837, HAMILTON, OH 45012-0837
(513) 454-1111
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
APRN.CNP.020834
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442233
—
OH
Enumeration date
07/12/2017
Last updated
01/10/2025
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