Organization
INTEGRATED FAMILY MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WINNIE MOAZAMPOUR M.D. (OWNER)
(614) 818-1477
Entity
Organization
Contact information
Practice address
4701 OLENTANGY RIVER RD, SUITE 1, COLUMBUS, OH 43214-1950
(614) 818-1477
(614) 642-0807
Mailing address
200 BRADENTON AVE, DUBLIN, OH 43017-7515
(614) 793-1980
(614) 793-1985
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-08-0529
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2345215
—
OH
Enumeration date
05/05/2006
Last updated
04/25/2013
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