Healthcare Provider Details
I. General information
NPI: 1437223385
Provider Name (Legal Business Name): KAREN S COLUMBUS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/20/2006
Last Update Date: 01/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4850 RED BANK RD SUITE 311
CINCINNATI OH
45227-1545
US
IV. Provider business mailing address
2060 READING RD SUITE 150
CINCINNATI OH
45202-1454
US
V. Phone/Fax
- Phone: 513-221-2544
- Fax: 513-221-1320
- Phone: 513-721-3200
- Fax: 513-639-3186
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 059714 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: