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Dr. Geetha Conjeevaram

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NPI Number Detailed Information

Provider Information:

Name: Dr. Geetha Conjeevaram
Gender: F
Provider License Number If Given: 35-78271

NPI Information:

NPI: 1316940364
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 12/13/2019

Provider Business Mailing Address:

Address: 5450 FRANTZ RD STE 360
Dublin, OH 43016
Phone Number: 6145446155
Fax Number: 6145446370

Provider Business Practice Location Address:

Address: 75 HOSPITAL DR SUITE 350
Athens, OH 45701
Phone Number: 7405924491
Fax Number: 7405924844

Provider Taxonomy:

Primary: 207R00000X
Secondary (if any):
State: OH

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