Individual
BASHIR AWL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
0615
Contact information
Practice address
4130 ADALRIC DR, COLUMBUS, OH 43219-6199
(614) 749-9782
Mailing address
4130 ADALRIC DR, COLUMBUS, OH 43219-6199
(614) 749-9782
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
201703403310
OH
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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