Individual
DIANA LYNN GREENE-CHANDOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-8714
(614) 293-4281
Mailing address
700 ACKERMAN RD, SUITE 570, COLUMBUS, OH 43202-1559
(614) 685-6917
(614) 366-7004
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
35.095885
OH
2084V0102X
Vascular Neurology Physician
Primary
35.095885
OH
2084V0102X
Vascular Neurology Physician
MD2019-0190
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3110556
—
OH
01
—
P01686423
RAILROAD MEDICARE
OH
Enumeration date
01/13/2006
Last updated
02/02/2024
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