MEDICARE: KOWSAR SALIBAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant	160W00000X	OH

General Provider Information

NPI Number	:	1174409312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KOWSAR SALIBAN

Provider Business Mailing Address
First Line	:	2025 RIVERSIDE DR STE 100
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43221-4012
Country	:	US
Telephone Number	:	380-710-9770
Fax Number	:	614-386-1344

Provider Business Practice Location Address
First Line	:	2025 RIVERSIDE DR STE 100
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43221-4012
Country	:	US
Telephone Number	:	380-710-9770
Fax Number	:	614-386-1344

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2025
Last Update Date	:	08/13/2025

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Directions to “ KOWSAR SALIBAN ” Practice Location

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