Healthcare Provider Details

I. General information

NPI: 1275455107
Provider Name (Legal Business Name): MR. SHEKAR CHANDRA POUDEL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1117 LEGACY LN
PATASKALA OH
43062
US

IV. Provider business mailing address

1117 LEGACY LN
PATASKALA OH
43062
US

V. Phone/Fax

Practice location:
  • Phone: 614-584-7651
  • Fax:
Mailing address:
  • Phone: 614-584-7651
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: