# ADVANCED WOUND HEALING LLC

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

## Provider details

- **NPI number:** 1619752094
- **Authorized official:** NIRAJ SHAH (OPERATOR)
- **Authorized official phone:** (614) 397-2543

## Contact information

- **Practice address:** 6099 RIVERSIDE DR STE 106, DUBLIN, OH 43017-2004
- **Practice address phone:** (614) 222-2222
- **Practice address fax:** (614) 930-6168
- **Mailing address:** 6371 RIVERSIDE DR STE 1100, DUBLIN, OH 43017-5446
- **Mailing address phone:** (614) 222-2222
- **Mailing address fax:** (614) 930-6168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/25/2023
- **Last updated:** 02/05/2024