Individual
MEREDITH NICOLE MUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
393 E TOWN ST STE 116, COLUMBUS, OH 43215-4799
(614) 566-9108
(614) 566-8737
Mailing address
5400 FRANTZ RD STE 250, DUBLIN, OH 43016-6102
(614) 533-6497
(614) 544-6370
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35086401
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
35086401
OH
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
35.086401
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2608691
—
OH
01
—
H113543
MEDICARE
OH
01
—
P00270644
RAILROAD MEDICARE PIN
OH
01
—
P01927694
RAILROAD MEDICARE
—
Enumeration date
06/01/2006
Last updated
04/23/2018
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