Individual
DR. VISHNU V MUDRAKOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
5100 W BROAD ST, COLUMBUS, OH 43228-1607
(614) 544-1000
Mailing address
240 VALENCIA PKWY, GILBERTS, IL 60136-8012
(630) 696-5715
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
58.007054
OH
Other
Enumeration date
03/06/2015
Last updated
11/16/2015
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