| NPI | 1255790408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEDAR DESHPANDE Physician 614-468-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.004563RX) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |