Healthcare Provider Details

I. General information

NPI: 1518428705
Provider Name (Legal Business Name): ALISHA FRANCES ALABRE-BONSU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALISHA FRANCES ALABRE MD

II. Dates (important events)

Enumeration Date: 03/29/2019
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER 395 W 12TH AVENUE, THIRD FLOOR
COLUMBUS OH
43210
US

IV. Provider business mailing address

THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER 395 W 12TH AVENUE, THIRD FLOOR
COLUMBUS OH
43210
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-3989
  • Fax: 614-293-9789
Mailing address:
  • Phone: 614-293-3989
  • Fax: 614-293-9789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35.142030
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.142030
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: