Individual
MATTHEW C WASHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-6200
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-6200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35-120746
OH
2080P0208X
Pediatric Infectious Diseases Physician
Primary
35-120746
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0313579
—
OH
01
—
H652600
CGS-MEDICARE
OH
Enumeration date
03/20/2011
Last updated
06/09/2023
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