Individual
ETHAN TATSUJI TAIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2231 N HIGH ST, COLUMBUS, OH 43201-1115
(614) 293-2700
Mailing address
190 S HIGH ST APT 218, COLUMBUS, OH 43215-3592
(630) 542-4083
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57.256493
OH
Other
Enumeration date
04/17/2023
Last updated
09/26/2025
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