Individual
SURAJ WAIKHOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3405 STONEVISTA LN, COLUMBUS, OH 43221-4942
(513) 257-8725
Mailing address
3405 STONEVISTA LN, COLUMBUS, OH 43221-4942
(513) 257-8725
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.087225
OH
Other
Enumeration date
04/16/2007
Last updated
03/06/2019
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