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Individual

KARTHIK SAGAR MULKANOOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
793 W STATE ST, COLUMBUS, OH 43222-1551
(614) 234-1079
(614) 234-2772
Mailing address
793 W STATE ST, COLUMBUS, OH 43222-1551
(614) 234-1079
(614) 234-2772

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.121971
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0092810
OH
01
H258203
MEDICARE NUMBER
OH
Enumeration date
07/06/2010
Last updated
12/05/2016
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