Provider Demographics
NPI:1891906145
Name:NATWA, MONA PREETI (MD)
Entity Type:Individual
Prefix:
First Name:MONA
Middle Name:PREETI
Last Name:NATWA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 W 12TH AVE
Mailing Address - Street 2:RM 460
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1267
Mailing Address - Country:US
Mailing Address - Phone:614-293-8315
Mailing Address - Fax:
Practice Address - Street 1:395 W 12TH AVE
Practice Address - Street 2:RM 460
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1267
Practice Address - Country:US
Practice Address - Phone:614-293-8315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4313842085N0904X
OH350924792085N0904X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2886622Medicaid
OH4251591Medicare PIN
PA101913696-0001Medicaid
PA2849363000OtherIBC / KHPE
PA9475015OtherPHCS
PA111619D2YMedicare PIN
PA23-1955165OtherINTERGROUP SERVICES
PA32725MD431384OtherHEALTH PARTNERS
PAP00402951OtherRAILROAD MEDICARE
PA23-1955165OtherAETNA
PAPA7584OtherHEALTH NET
PA30043065OtherKEYSTONE MERCY