Organization
GI PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VEN KOTTAPALLI MD, CNSP (PRESIDENT)
(419) 228-2600
Entity
Organization
Contact information
Practice address
512 N CABLE RD, LIMA, OH 45805-2133
(419) 228-2600
(419) 228-1100
Mailing address
512 N CABLE RD, LIMA, OH 45805-2133
(419) 228-2600
(419) 228-1100
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2488204
—
OH
01
—
7998365
AETNA
OH
Enumeration date
04/28/2006
Last updated
06/29/2021
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