Healthcare Provider Details

I. General information

NPI: 1881770410
Provider Name (Legal Business Name): PEOPLES FAMILY MEDICAL CENTER COLUMBUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1279 E DUBLIN GRANVILLE RD SUITE 100C
COLUMBUS OH
43229-3300
US

IV. Provider business mailing address

1279 E DUBLIN GRANVILLE RD SUITE 100C
COLUMBUS OH
43229-3300
US

V. Phone/Fax

Practice location:
  • Phone: 614-884-7108
  • Fax: 614-884-7109
Mailing address:
  • Phone: 614-884-7108
  • Fax: 614-884-7109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHARLES C. NJOKU
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 614-884-7108