Individual provider · NPI-1

Dheeraj Muddasani, MD

· Dublin, OH

NPI number1912496845

StatusActive

Last updated in NPPESApr 22, 2024

Details

NPI: 1912496845
Entity type: Individual (NPI-1)
Name: Dheeraj Muddasani
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: May 7, 2018
Certification date: Apr 22, 2024
Last updated: Apr 22, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2085N0700X		35150289	OH	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

5475 Rings Rd Ste 300
Dublin, OH 43017-7537

Phone 614-210-1885

Mailing address

1600 Euclid Ave Apt 1905
Cleveland, OH 44115-2156

Other practice locations

11100 Euclid Ave
Cleveland, OH 44106-1716

Phone 216-541-1758

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