Healthcare Provider Details

I. General information

NPI: 1447398599
Provider Name (Legal Business Name): ALLERGY & ASTHMA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 03/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5965 E BROAD ST STE 320
COLUMBUS OH
43213-1562
US

IV. Provider business mailing address

5965 E BROAD ST STE 320
COLUMBUS OH
43213-1562
US

V. Phone/Fax

Practice location:
  • Phone: 614-864-2736
  • Fax: 614-864-3061
Mailing address:
  • Phone: 614-864-2736
  • Fax: 614-864-3061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HIRESADARAHALLI C. NATARAJ
Title or Position: PRESIDENT
Credential: M.D.,
Phone: 614-864-2736