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NPI Code Detail

MEDICARE: ELISE D BERLAN M.D.

MEDICARE:   ELISE D BERLAN  M.D.
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
12080A0000XPediatric Adolescent Medicine Physician35090052OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2H254390OTHEROHCGS - MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447220868
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISE D BERLAN M.D.
Provider Business Mailing Address
First Line : 700 CHILDRENS DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2664
Country : US
Telephone Number : 614-722-2000
Fax Number :
Provider Business Practice Location Address
First Line : 700 CHILDRENS DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2664
Country : US
Telephone Number : 614-722-2458
Fax Number : 614-722-3583
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 06/15/2026

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Directions to “ ELISE D BERLAN M.D.” Practice Location

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