Provider Demographics
NPI:1619173721
Name:PLUTO, CHARLES P III (MD PHD)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:P
Last Name:PLUTO
Suffix:III
Gender:M
Credentials:MD PHD
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Mailing Address - Street 1:700 CHILDREN'S DRIVE
Mailing Address - Street 2:RADIOLOGY DEPT, BUILDING K
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205
Mailing Address - Country:US
Mailing Address - Phone:614-722-2289
Mailing Address - Fax:614-722-2332
Practice Address - Street 1:700 CHILDREN'S DRIVE
Practice Address - Street 2:NATIONWIDE CHILDREN'S HOSPITAL
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205
Practice Address - Country:US
Practice Address - Phone:614-722-2289
Practice Address - Fax:614-722-2332
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-25
Last Update Date:2023-02-15
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Provider Licenses
StateLicense IDTaxonomies
GUM-23342085R0202X
NMRS200704302085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology