Pakvasa, Mitali A

Pakvasa, Mitali A is an individual health care provider with primary practice located at 111 S Grant Ave , Columbus OH 43215-4701. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Pakvasa, Mitali A can be contacted via phone (614) 566-9000.

Contact Information

Primary practice address
111 S Grant Ave Columbus OH 43215-4701
Phone: (614) 566-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 35.138675 Ohio

Profile Details

NPI number 1235453994
LBN Legal business name Pakvasa, Mitali A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2010
Last updated Jul 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235453994 NPPES
Ohio MEDICAID 0400911

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