Mukhdomi, Gulam
Mukhdomi, Gulam is an individual health care provider with primary practice located at 4215 Gantz Rd. , Grove City OH 43123. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mukhdomi, Gulam can be contacted via phone (614) 539-4425.Contact Information
Primary practice address
4215 Gantz Rd.
Grove City OH 43123
Phone: (614) 539-4425
Fax: (614) 539-5400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 083053 | |
| Other Service Providers / Specialist | 174400000X | 083053 | Ohio |
Profile Details
| NPI number | 1184653214 |
|---|---|
| LBN Legal business name | Mukhdomi, Gulam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2006 |
| Last updated | Nov 20th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184653214 | NPPES |
| Ohio | MEDICAID | 2437018 |
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