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Individual

ANISH KRUPESH AMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3705 OLENTANGY RIVER RD, SUITE 100, COLUMBUS, OH 43214-3467
(614) 262-6772
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.092023
OH
207RC0000X
Cardiovascular Disease Physician
35.092023
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
35.092023
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2954405
OH
Enumeration date
04/23/2007
Last updated
01/25/2022
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