Healthcare Provider Details

I. General information

NPI: 1982739280
Provider Name (Legal Business Name): INFECTIOUS DISEASE CONSULTANTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

685 BRYDEN RD
COLUMBUS OH
43205-5004
US

IV. Provider business mailing address

685 BRYDEN RD
COLUMBUS OH
43205-5004
US

V. Phone/Fax

Practice location:
  • Phone: 614-461-3214
  • Fax: 614-621-4300
Mailing address:
  • Phone: 614-461-3214
  • Fax: 614-621-4300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RODNEY K KUSUMI
Title or Position: OWNER
Credential: M.D.
Phone: 614-461-3214