Healthcare Provider Details

I. General information

NPI: 1801230446
Provider Name (Legal Business Name): MOHAMED HELMY ABDEL-RAHMAN MB.BCH. , PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2013
Last Update Date: 04/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 OLENTANGY RIVER RD 5TH FLOOR, DEPARTMENT OF OPHTHALMOLOGY
COLUMBUS OH
43212-3153
US

IV. Provider business mailing address

400 W 12TH AVE ROOM 202 WISEMAN HALL
COLUMBUS OH
43210-2207
US

V. Phone/Fax

Practice location:
  • Phone: 614-292-1396
  • Fax:
Mailing address:
  • Phone: 614-292-1396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number35.093407
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: