Provider Demographics
NPI:1275184491
Name:TIMSINA, MADHAV
Entity Type:Individual
Prefix:
First Name:MADHAV
Middle Name:
Last Name:TIMSINA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1775 WOODVIEW CT APT J
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-3044
Mailing Address - Country:US
Mailing Address - Phone:216-577-3883
Mailing Address - Fax:
Practice Address - Street 1:1775 WOODVIEW CT APT J
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-3044
Practice Address - Country:US
Practice Address - Phone:216-577-3883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-28
Last Update Date:2019-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide