Organization
KRISHNA M RAGOTHAMAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISHNA M RAGOTHAMAN MD (OWNER)
(419) 898-8124
Entity
Organization
Contact information
Practice address
128 N LOCUST ST, OAK HARBOR, OH 43449-1358
(419) 898-8124
(419) 898-9148
Mailing address
PO BOX 415, OAK HARBOR, OH 43449-0415
(419) 898-8124
(419) 898-9148
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
35068996 R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01816465
—
OH
Enumeration date
01/25/2012
Last updated
01/25/2012
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