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Individual

DR. NANDA K. METHUKU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1121 KINNEYS LN, PORTSMOUTH, OH 45662-2806
(740) 356-7490
(740) 356-7488
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 353-7900

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
273786
NY
207RH0003X
Hematology & Oncology Physician
Primary
35.131921
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0238342
OH
Enumeration date
09/07/2007
Last updated
12/17/2020
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