Healthcare Provider Details

I. General information

NPI: 1437900404
Provider Name (Legal Business Name): IMANI NOELLE MAJOR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2024
Last Update Date: 03/28/2024
Certification Date: 03/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 W 12TH AVE FL 5
COLUMBUS OH
43210-1267
US

IV. Provider business mailing address

395 W 12TH AVE FL 5
COLUMBUS OH
43210-1267
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-4532
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: