Anil Kumar Muddada, M.D
Internal Medicine, Nephrology in Lima, OH. Individual provider (NPI-1).
NPI number1386877751
StatusActive
Last updated in NPPESJun 27, 2023
Details
- NPI
- 1386877751
- Entity type
- Individual (NPI-1)
- Name
- Anil Kumar Muddada
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2009
- Certification date
- Jun 27, 2023
- Last updated
- Jun 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | 35122892 | OH | Yes |
| 207R00000X | Internal Medicine | 2011017861 | MO |
Practice location
750 W High StSuite 150
Lima, OH 45801-2969
Phone 419-227-1359 · Fax 419-227-7586
Mailing address
Po Box 636930Cincinnati, OH 45263-6930
Phone 513-981-5123 · Fax 513-981-5015
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