Individual
CRISTINA TOMATIS SOUVERBIELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.138923
OH
2080P0208X
Pediatric Infectious Diseases Physician
Primary
35.138923
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0413269
—
OH
01
—
H793230
CGS - MEDICARE
OH
Enumeration date
07/14/2015
Last updated
02/21/2022
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