Healthcare Provider Details

I. General information

NPI: 1578166930
Provider Name (Legal Business Name): MRS. FAIZA DAHANI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2020
Last Update Date: 11/18/2020
Certification Date: 11/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 TAYLOR AVE
COLUMBUS OH
43203-1779
US

IV. Provider business mailing address

662 CHERRY HILL DR
PICKERINGTON OH
43147-8778
US

V. Phone/Fax

Practice location:
  • Phone: 614-685-1703
  • Fax:
Mailing address:
  • Phone: 901-602-0123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number000000
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: