Individual
MRS. ANURADHA MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7798 DISCOVERY DR, WEST CHESTER, OH 45069-7745
(513) 475-7500
(513) 475-7501
Mailing address
4685 FOREST AVE, CINCINNATI, OH 45212-3397
(513) 246-1964
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50 003602
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078764
—
OH
05
—
7100230590
—
KY
Enumeration date
07/10/2009
Last updated
10/12/2021
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