Healthcare Provider Details

I. General information

NPI: 1679935316
Provider Name (Legal Business Name): ANTOINE ESKANDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2016
Last Update Date: 09/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 OLENTANGY RIVER ROAD, SUITE 4000 OSU EYE & EAR INSTITUTE
COLUMBUS OH
43212
US

IV. Provider business mailing address

915 OLENTANGY RIVER ROAD, SUITE 4000 (DEPT. OF OTOLLARYNGOLOGY) OSU EYE & EAR INSTITUTE
COLUMBUS OH
43212
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-4453
  • Fax: 614-293-7292
Mailing address:
  • Phone: 614-293-4453
  • Fax: 614-293-7292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number35.127805
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: