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Organization
THUAN DHIRA
Active
Organization
THUAN DHIRA
Active
Parent organization
PHOENIX INTEGRATED HEALTH
Other names
Phoenix Integrated Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHOENIX INTEGRATED HEALTH
Authorized official
BURT DHIRA (CEO)
(614) 551-4364
Entity
Organization
Contact information
Practice address
5945 SAWMILL RD UNIT B, DUBLIN, OH 43017-1623
(614) 389-3030
Mailing address
5945 SAWMILL RD UNIT B, DUBLIN, OH 43017-1623
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337739
—
OH
Enumeration date
03/06/2019
Last updated
05/03/2021
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