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JOJU VARIATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
223 CARLTON DAVIDSON LN, COAL GROVE, OH 45638-2924
(740) 532-3048
Mailing address
305 N 5TH ST, IRONTON, OH 45638-1578
(740) 532-3534

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35074076V
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000214280
ANTHEM
OH
05
2059687
OH
Enumeration date
05/05/2006
Last updated
12/21/2011
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