SUBBARAYUDU KOPPERA MD
Osteopathic Medicine at Ogden Woods Blvd, New Albany, OH

License number
Ohio 35-049871
Category
Osteopathic Medicine
Type
Nephrology
Owner
Name: SUBBARAYUDU KOPPERA MD
Title: OWNER
Phone: (740) 622-6474
Address
Address
7594 Ogden Woods Blvd, New Albany, OH 43054
National Provider ID: 1891980074
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SUBBARAYUDU KOPPERA, M.D., INC

New Albany, OH

Status:
Inactive
Industry:
Internist
Doing business as:
Subbarayudu Koppera MD
Inactive reason:
Revoked (Failure to File Annual Report)
Registration:
Apr 21, 2004
Inactive since:
May 24, 2006
Phone:
(614) 855-0233 (Phone)
Addresses:
Subbarayudu Koppera, New Albany, OH 43054 (Physical)
7594 Ogden Wood Blvd, New Albany, OH 43054
Business type:
Corporation
President:
Subbarayudu Koppera (President), 7594 Ogden Wood Blvd, New Albany, OH 43054

Osteopathic Medicine licenses in Ohio