Healthcare Provider Details

I. General information

NPI: 1841426863
Provider Name (Legal Business Name): SHAHEEN DURRANI-KOLARIK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2009
Last Update Date: 03/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

THE CHRIST HOSPITAL 2139 AUBURN AVE
CINCINNATI OH
45219
US

IV. Provider business mailing address

8435 ALBANESE CIR
DUBLIN OH
43016-7761
US

V. Phone/Fax

Practice location:
  • Phone: 513-585-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number27147
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number35.099037
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: