MABBU GAJAPATHY SHIVAPRASAD

BELLEFONTAINE, OH
NPI1083795850
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OH  35-072257)
Enumeration Date2006-10-18
Last Update Date2007-07-08
Business Address
-- MABBU GAJAPATHY SHIVAPRASAD MD
LOGAN FAMILY MEDICAL CENTER LLC 2210 TIMBER TRAIL
BELLEFONTAINE, OH 43311
Phone number: 937-593-3151
Mailing Address
-- MABBU GAJAPATHY SHIVAPRASAD MD
2210 TIMBER TRAIL
BELLEFONTAINE, OH 43311
Phone number: 937-593-3151
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