Organization
MID-OHIO MEDICAL SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NAYYAR FATIMA SHAREEF MD (VICE-PRESIDENT)
(614) 445-7209
Entity
Organization
Contact information
Practice address
949 E LIVINGSTON AVE, COLUMBUS, OH 43205-2748
(614) 445-7209
(614) 656-7068
Mailing address
949 E LIVINGSTON AVE, COLUMBUS, OH 43205-2748
(614) 445-7209
(937) 599-7035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35067934
OH
207R00000X
Internal Medicine Physician
Primary
35047929
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35047929
OH
207RP1001X
Pulmonary Disease Physician
35047929
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170550
—
OH
05
—
0764098
—
OH
Enumeration date
05/09/2007
Last updated
12/17/2024
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