Individual
ESTEBAN FERNANDEZ FAITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-6200
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
35-097444
OH
207NP0225X
Pediatric Dermatology Physician
Primary
35-097444
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051052
—
OH
01
—
H019940
CGS-MEDICARE
OH
Enumeration date
08/17/2007
Last updated
02/15/2022
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