MEDICARE: CHITRA PRASAD TIMSINA

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
1	171M00000X	Case Manager/Care Coordinator
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	CDCA.187577	OH

General Provider Information

NPI Number	:	1710611280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHITRA PRASAD TIMSINA

Provider Business Mailing Address
First Line	:	6037 CLEVELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-2256
Country	:	US
Telephone Number	:	614-267-7003
Fax Number	:

Provider Business Practice Location Address
First Line	:	1299 MCNAUGHTEN RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-1678
Country	:	US
Telephone Number	:	614-582-2368
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2022
Last Update Date	:	05/09/2024

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