Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 35.138894 | OH |
NPI | 1013390301 |
---|---|
Provider Name | Dr. Aashrai Gudlavalleti |
First Address | Dublin, OH 43017-0727 |
Second Address | Marion, OH 43302-6283 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2015 |
Last Update Date | 15/12/2021 |