Individual
RENATA FABIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 S. 18TH STREET, COLUMBUS, OH 43205
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35082961
OH
2086S0120X
Pediatric Surgery Physician
Primary
35082961
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2435234
—
OH
01
—
H160790
CGS - MEDICARE
OH
Enumeration date
05/10/2006
Last updated
11/19/2024
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