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Individual

DR. SAMPATH KUMAR THIRUVEEDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 LINCOLN PARK BLVD, SUITE 100, KETTERING, OH 45429-6410
(937) 222-3118
(937) 222-1436
Mailing address
500 LINCOLN PARK BLVD, SUITE 100, KETTERING, OH 45429-6410
(937) 222-3118
(937) 222-1436

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT192921
PA
207RN0300X
Nephrology Physician
Primary
35123607
OH

Other

Enumeration date
09/02/2009
Last updated
05/11/2017
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