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Contact Information

GULAM MUKHDOMI, MD
4215 GANTZ RD.
GROVE CITY, OH43123
 Phone: 614-539-4425
 Fax: 614-539-5400
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for GULAM MUKHDOMI · (Male)

NPI Number 1184653214
Status Active
Credentials MD
Entity Individual
Enumeration date 07/01/2006
Last updated 11/20/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • License # 083053
  • OH License # 083053
  • OH Medicaid 2437018
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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