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Individual

DUMMI P YATHIRAJ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
311 NILLES RD, STE C, FAIRFIELD, OH 45014-2621
(513) 829-2124
(513) 829-2125
Mailing address
311 NILLES RD, STE C, FAIRFIELD, OH 45014-2621
(513) 829-2124
(513) 829-2125

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35036943
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0287863
OH
Enumeration date
05/05/2006
Last updated
05/13/2021
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