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NPI Code Detail

MEDICARE: KAELI ZORETICH MD

MEDICARE:   KAELI  ZORETICH  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician57.256196OH
2207R00000XInternal Medicine Physician57.256196OH

General Provider Information

NPI Number : 1518726769
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAELI ZORETICH MD
Provider Business Mailing Address
First Line : 410 W 10TH AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43210-1240
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 410 W 10TH AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43210-1240
Country : US
Telephone Number : 614-293-3333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2024
Last Update Date : 03/04/2026

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Directions to “ KAELI ZORETICH MD” Practice Location

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