# BASIL H HAZIMAH, DPM, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619034162
- **Authorized official:** BASIL HAZIMAH DPM (OWNER)
- **Authorized official phone:** (614) 875-5233

## Contact information

- **Practice address:** 3841 BROADWAY, GROVE CITY, OH 43123-2206
- **Practice address phone:** (614) 875-5233
- **Practice address fax:** (614) 568-7407
- **Mailing address:** 2545 HILLIARD ROME RD PMB 222, HILLIARD, OH 43026-9471
- **Mailing address phone:** (614) 875-5233
- **Mailing address fax:** (614) 568-7407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 05/22/2008