Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 35.138657 | OH |
Y | 111NI0900X | Internist | 35.138657 | OH |
NPI | 1003349291 |
---|---|
Provider Name | Dr. Nicholas Peter Amata |
First Address | Columbus, OH 43214-3984 |
Second Address | Columbus, OH 43214-3984 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2017 |
Last Update Date | 28/06/2021 |