Individual
AJAY KHATIWADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8746 LINICK DR, REYNOLDSBURG, OH 43068-4782
(602) 814-9299
Mailing address
8746 LINICK DR, REYNOLDSBURG, OH 43068-4782
(602) 814-9299
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
11/17/2021
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