Organization
MAZEN ELDADAH, M.D., INC
Active
Organization
MAZEN ELDADAH, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAZEN K ELDADAH M.D. (PRESIDENT)
(614) 228-9900
Entity
Organization
Contact information
Practice address
393 E TOWN ST, SUITE 118, COLUMBUS, OH 43215-4741
(614) 228-9900
Mailing address
# L-2430, PO BOX 600001, COLUMBUS, OH 43260-0001
(614) 451-8770
(614) 451-2291
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0173753
—
OH
Enumeration date
09/14/2006
Last updated
06/18/2010
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