Organization
EXCEL CLINIC LLC
Active
Other names
Grandview Family Medical Care
Organization subpart
No
Provider details
NPI number
Authorized official
MAZHAR HUSSAIN M.D (OWNER)
(614) 203-0281
Entity
Organization
Contact information
Practice address
1480 GRANDVIEW AVE, COLUMBUS, OH 43212
(614) 486-9461
Mailing address
5340 GORDON WAY, DUBLIN, OH 43017
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35075884
OH
363LF0000X
Family Nurse Practitioner
RN-198389
OH
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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