Basic Information
Provider Information
NPI: 1447347158
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BATHINI
FirstName: DEEPIKA
MiddleName: N
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5350 FRANTZ RD
Address2:  
City: DUBLIN
State: OH
PostalCode: 430164259
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 111 S GRANT AVE
Address2:  
City: COLUMBUS
State: OH
PostalCode: 432154701
CountryCode: US
TelephoneNumber: 6145668883
FaxNumber: 6145668149
Other Information
ProviderEnumerationDate: 10/06/2006
LastUpdateDate: 12/22/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMA77005NJN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X35091112OHY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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