Organization
JOHN NIRMALNATH MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NIRMALNATH MD (MD)
(419) 525-2241
Entity
Organization
Contact information
Practice address
295 GLESSNER AVE, MANSFIELD, OH 44903
(419) 525-2241
(419) 525-1092
Mailing address
295 GLESSNER AVE, MANSFIELD, OH 44903
(419) 525-2241
(419) 525-1092
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3506759
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000121141
ANTHEM
OH
05
—
019311
—
OH
01
—
06476736900
BLUE
OH
Enumeration date
03/24/2006
Last updated
11/05/2007
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