Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 011885 | OH |
Y | 111NI0900X | Internist | 011885 | OH |
NPI | 1003158031 |
---|---|
Provider Name | Dr. Anokh Kondru |
First Address | Pickerington, OH 43147 |
Second Address | Lancaster, OH 43130-3372 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2013 |
Last Update Date | 23/02/2017 |