Individual
DESALEGN YACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 CHILDREN'S DRIVE, COLUMBUS, OH 43205-2664
(614) 722-3450
(614) 722-3454
Mailing address
700 CHILDREN'S DRIVE, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
35090138
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2930761
—
OH
01
—
4263131
CGS - MEDICARE
OH
Enumeration date
03/24/2008
Last updated
05/14/2026
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