Healthcare Provider Details

I. General information

NPI: 1548867963
Provider Name (Legal Business Name): ELIZABETH SAVIKA LIOTTA MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2020
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2835 FRED TAYLOR DR FL 2
COLUMBUS OH
43202-1552
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-3600
  • Fax: 614-293-2910
Mailing address:
  • Phone: 614-293-3600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0010X
TaxonomySports Medicine (Internal Medicine) Physician
License Number35.153549
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: