Individual
DR. ROBERT D WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5040 FOREST DR, SUITE 300, NEW ALBANY, OH 43054-8181
(614) 890-6555
(614) 775-1484
Mailing address
70 S CLEVELAND AVE, WESTERVILLE, OH 43081-1397
(614) 839-3275
(614) 775-1484
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
35-062312
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0995571
—
OH
Enumeration date
12/27/2005
Last updated
03/07/2017
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