Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 35-08-4115 | OH |
NPI | 1023051299 |
---|---|
Provider Name | Ravi S Dhawale |
First Address | Columbus, OH 43214-1926 |
Second Address | Columbus, OH 43214-1926 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 22/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2647103 | (05) | OH |