Individual
DR. CHRISTIAN L. BONASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3525 OLENTANGY RIVER RD, SUITE 5310, COLUMBUS, OH 43214-3937
(614) 263-7002
(614) 267-6683
Mailing address
3525 OLENTANGY RIVER RD, SUITE 5310, COLUMBUS, OH 43214-3937
(614) 263-7002
(614) 267-6683
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35.072145
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000195076
ANTHEM PIN
OH
05
—
2109435
—
OH
01
—
310874776007
TRICARE PIN
OH
01
—
310874776035
CARESOURCE PIN
OH
01
—
600286
UNITED HEALTH CARE
OH
05
—
64068844
—
KY
01
—
7624851003
CIGNA PIN
OH
01
—
7895215
AETNA PIN
OH
Enumeration date
06/28/2005
Last updated
12/22/2021
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