Organization
NDI, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN P FAHEY DO (CEO PRESIDENT)
(614) 870-3669
Entity
Organization
Contact information
Practice address
165 N MURRAY HILL RD, COLUMBUS, OH 43228-1585
(614) 870-3669
(614) 870-3449
Mailing address
7811 FLINT RD, SUITE C, COLUMBUS, OH 43235-6420
(614) 433-2000
(614) 885-3975
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001489
—
OH
Enumeration date
08/15/2006
Last updated
09/20/2010
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