Healthcare Provider Details

I. General information

NPI: 1528192820
Provider Name (Legal Business Name): MANMOHAN K KATAPADI MD, FACC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 04/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E BROAD ST
COLUMBUS OH
43205-1015
US

IV. Provider business mailing address

800 E BROAD ST
COLUMBUS OH
43205-1015
US

V. Phone/Fax

Practice location:
  • Phone: 614-252-8300
  • Fax: 614-252-6637
Mailing address:
  • Phone: 614-252-8300
  • Fax: 614-252-6637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35070483K
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number2417
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: