Individual
PAUL SRESTHADATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9431 PINE CREEK DR, POWELL, OH 43065-6505
(614) 420-6224
Mailing address
9431 PINE CREEK DR, POWELL, OH 43065-6505
(614) 420-6224
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34007180
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2304885
—
OH
Enumeration date
10/31/2005
Last updated
11/05/2011
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