Healthcare Provider Details

I. General information

NPI: 1851937999
Provider Name (Legal Business Name): PARVEENCO INTERNATIONAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2019
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 E CAMPUS VIEW BLVD
COLUMBUS OH
43235-4634
US

IV. Provider business mailing address

246 E CAMPUS VIEW BLVD
COLUMBUS OH
43235-4634
US

V. Phone/Fax

Practice location:
  • Phone: 614-431-4600
  • Fax: 614-431-4601
Mailing address:
  • Phone: 614-431-4600
  • Fax: 614-431-4601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MAHER J SOUDAH
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 614-431-4600