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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MABBU GAJAPATHY SHIVAPRASAD, MD

Active

MABBU GAJAPATHY SHIVAPRASAD, MD is a Family Medicine healthcare provider located in BELLEFONTAINE, Ohio. NPI 1083795850 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BELLEFONTAINE, OH

Registration Details

NPI Number
1083795850
Provider Type
Individual
Gender
Male
NPI Issued
Oct 18, 2006 (19.640290948093 yrs)
Last Updated
Jul 8, 2007
License
35-072257 (OH)

Practice Information

Address
LOGAN FAMILY MEDICAL CENTER LLC
2210 TIMBER TRAIL
BELLEFONTAINE, OH, 43311
Browse OH providers · Browse ZIP 43311
Phone
9375933151
Fax
9375935438
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in BELLEFONTAINE, OH

Name Credential NPI
STEVEN PAUL HOOLEY MD 1295723419
DR. KRISTEN THEOBALD BRAIG MD 1265422950
DR. DERON L HORMAN MD 1003807231
MR. RYAN D. KAUFFMAN M.D. 1558302448
WAYNE CUMMINGS DO 1902832868
MR. ROGER J KAUFFMAN M.D. 1629006309
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.