Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 35087530 | OH |
Y | 207YP0228X | Pediatric Otolaryngology | 35087530 | OH |
N | 208200000X | Surgeon | 35087530 | OH |
N | 208600000X | Surgeon | 35087530 | OH |
NPI | 1134169956 |
---|---|
Provider Name | Dr. Kris R Jatana |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2654 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 16/11/2011 |