Individual
JAYESH C VALLABH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
480 MEDICAL CENTER DR, 1018 DODD HALL, COLUMBUS, OH 43210
(614) 293-4295
(614) 293-3809
Mailing address
480 MEDICAL CENTER DR, 1011 DODD HALL, COLUMBUS, OH 43210-1229
(614) 293-4295
(614) 293-3809
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
35.129402
OH
208VP0014X
Interventional Pain Medicine Physician
Primary
35129402
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.129402
STATE LICENSE NUMBER
OH
Enumeration date
04/06/2012
Last updated
10/26/2018
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