Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Columbus Southern Medical Group LLC

Organization Family Medicine Physician · NPI 1376579755

Columbus Southern Medical Group LLC provides Family Medicine Physician services 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
Show map & directions

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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