Healthcare Provider Details
I. General information
NPI: 1730327099
Provider Name (Legal Business Name): ROBERT MURITHI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/25/2009
Last Update Date: 08/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
501 W SCHROCK RD STE 103
WESTERVILLE OH
43081-8039
US
IV. Provider business mailing address
691 SOUTHBLUFF DR
WESTERVILLE OH
43082-8605
US
V. Phone/Fax
- Phone: 614-745-8280
- Fax: 614-591-4744
- Phone: 614-423-8506
- Fax: 614-423-8506
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 003264 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RN0300X |
| Taxonomy | Nephrology Physician |
| License Number | 35.126500 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: