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Individual

JAYESH C VALLABH

Active
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Individual

JAYESH C VALLABH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, MBA

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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