Healthcare Provider Details

I. General information

NPI: 1255387635
Provider Name (Legal Business Name): ANITA PREETI SOMANI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 01/05/2022
Certification Date: 11/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 OLENTANGY RIVER RD STE A
COLUMBUS OH
43214-3437
US

IV. Provider business mailing address

5450 FRANTZ RD STE 360
DUBLIN OH
43016-4141
US

V. Phone/Fax

Practice location:
  • Phone: 614-583-5552
  • Fax: 614-583-5559
Mailing address:
  • Phone: 614-544-6155
  • Fax: 614-544-6370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35059915
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: