Healthcare Provider Details

I. General information

NPI: 1740266717
Provider Name (Legal Business Name): AREF M AMRO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: AREF M ABOU-AMRO MD

II. Dates (important events)

Enumeration Date: 12/21/2005
Last Update Date: 11/07/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5131 BEACON HILL RD STE 220B
COLUMBUS OH
43228-4442
US

IV. Provider business mailing address

PO BOX 7527
DUBLIN OH
43017-0727
US

V. Phone/Fax

Practice location:
  • Phone: 614-544-1555
  • Fax: 614-533-0052
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35084302
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number35084302
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: