Healthcare Provider Details

I. General information

NPI: 1497979082
Provider Name (Legal Business Name): IAN ANTHENI MYLES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1654 UPHAM DR 202 MEANS HALL
COLUMBUS OH
43210-1250
US

IV. Provider business mailing address

9000 ROCKVILLE PIKE RM 11N228
BETHESDA MD
20892-0001
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number35.090516
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.090516
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: