Individual
DR. JAHNAVI GOLLAMUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3130 HIGHLAND AVE, CINCINNATI, OH 45219-2399
(513) 475-8500
(513) 584-4281
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3887
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
35.137401
OH
207RH0003X
Hematology & Oncology Physician
35.137401
OH
207RH0003X
Hematology & Oncology Physician
S5172
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008976
—
OH
05
—
7100838280
—
KY
Enumeration date
05/09/2013
Last updated
05/24/2023
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