PREM P SIWAKOTI

COLUMBUS, OH
NPI1841946738
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OH  50.007511RX)
Enumeration Date2022-03-01
Last Update Date2023-03-25
Business Address
PREM P SIWAKOTI PA
6599 E BROAD ST
COLUMBUS, OH 43213-1509
Phone number: 614-986-7752
Mailing Address
PREM P SIWAKOTI PA
6599 E BROAD ST
COLUMBUS, OH 43213-1509
Phone number: 614-986-7752