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NPI Code Detail

MEDICARE: OMKAR RAVICHANDRA HIREKHAN M.D.

MEDICARE:   OMKAR RAVICHANDRA HIREKHAN  M.D.
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
1207Q00000XFamily Medicine Physician35.134303OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124414503
Entity Type Code : Individual
Provider Name (Legal Business Name) : OMKAR RAVICHANDRA HIREKHAN M.D.
Provider Business Mailing Address
First Line : 111 S GRANT AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-4701
Country : US
Telephone Number : 614-566-8883
Fax Number : 614-566-8149
Provider Business Practice Location Address
First Line : 285 E STATE ST STE 670
Second Line : MEDICAL EDUCATION DEPARTMENT
City : COLUMBUS
State : OH
Zip : 43215-4360
Country : US
Telephone Number : 614-566-9290
Fax Number : 614-566-8073
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2015
Last Update Date : 11/07/2019

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Directions to “ OMKAR RAVICHANDRA HIREKHAN M.D.” Practice Location

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