Individual
JISNA R. PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3691 RIDGE MILL DR, HILLIARD, OH 43026-7752
(614) 688-9220
(614) 688-9177
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 688-9220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2011031969
MO
207RR0500X
Rheumatology Physician
2011031969
MO
207RR0500X
Rheumatology Physician
Primary
35134951
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0333852
—
OH
Enumeration date
06/03/2008
Last updated
12/17/2020
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