Healthcare Provider Details

I. General information

NPI: 1750562666
Provider Name (Legal Business Name): RACHEL L. DEMITA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2007
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 MIRANOVA PL STE 500
COLUMBUS OH
43215-7052
US

IV. Provider business mailing address

2 MIRANOVA PL STE 500
COLUMBUS OH
43215-7052
US

V. Phone/Fax

Practice location:
  • Phone: 614-321-9743
  • Fax:
Mailing address:
  • Phone: 614-321-9743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number35090775
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number35-090775
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: