Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Columbus Southern Medical Group LLC

Organization Family Medicine Physician · NPI 1376579755

Columbus Southern Medical Group LLC is a Family Medicine Physician in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2006.

Licensed in
OH
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2912 S High St
Columbus, OH 43207
Phone: (614) 748-2000
Fax: (614) 748-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OH34005855L (OH)

Record details

NPI number1376579755
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Lake — Doctor · (614) 748-2000
Other names Dr Gursal Llc
NPI enumeratedJune 25, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2912 S High Street, Columbus, OH 43207

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