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Individual

DR. BRAD WILLIAM DESILVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
915 OLENTANGY RIVER RD STE 4000, COLUMBUS, OH 43212-3154
(614) 366-3687
(614) 293-9698
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-2594
(614) 293-4487

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35087448
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2641618
OH
Enumeration date
06/12/2006
Last updated
02/03/2025
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