Individual
HITNEBAGILU L KRUPADEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. LLC
Contact information
Practice address
408 THIRD STREET, MARIETTA, OH 45750
(740) 373-5119
(740) 373-7090
Mailing address
408 THIRD STREET, MARIETTA, OH 45750
(740) 373-5119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35042059K
OH
207R00000X
Internal Medicine Physician
Primary
3504259
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445923
—
OH
Enumeration date
07/25/2006
Last updated
05/04/2011
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