Individual provider · Type 1 NPI

Mabbu Gajapathy Shivaprasad, MD

Family Medicine Physician · Bellefontaine, OH

NPI number 1083795850 Active

Practice location

Logan Family Medical Center Llc, 2210 Timber Trail
Bellefontaine, OH 43311

Call (937) 593-3151 Map

Fax (937) 593-5438

Mailing address

2210 Timber Trail
Bellefontaine, OH 43311

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X35-072257 (OH)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1083795850

Mabbu Gajapathy Shivaprasad, MD's National Provider Identifier is 1083795850, issued on Oct 18, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Bellefontaine, OH. The record was last updated on Jul 8, 2007.