Individual
IRGENA HAFIZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
395 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 685-0759
Mailing address
395 W 12TH AVE FL 4, COLUMBUS, OH 43210-1267
(614) 685-0759
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
58.033101
OH
208D00000X
General Practice Physician
5151015854
MI
Other
Enumeration date
06/02/2022
Last updated
12/03/2023
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