Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 35083102 | OH |
NPI | 1023002714 |
---|---|
Provider Name | Dr. Leena Tarigopula |
First Address | Columbus, OH 43202-1523 |
Second Address | Columbus, OH 43202-1523 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2005 |
Last Update Date | 15/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
241761 | (05) | OH |
H52233 | (02) |