Organization
PREMIER ALLERGY AND ASTHMA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEKHA SHAH (OWNER)
(614) 328-9927
Entity
Organization
Contact information
Practice address
6565 PERIMETER DRIVE, DUBLIN, OH 43016-8461
(614) 328-9927
(614) 389-3727
Mailing address
6565 PERIMETER DRIVE, DUBLIN, OH 43016-8461
(614) 328-9927
(614) 389-3727
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
097341
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
097341
LICENSE STATE OF OHIO
OH
01
—
H407890
MEDICARE PTAN
OH
Enumeration date
10/08/2014
Last updated
07/25/2019
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