Healthcare Provider Details

I. General information

NPI: 1861809600
Provider Name (Legal Business Name): SAMAN SEYED AHMADIAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2014
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 W 10TH AVE
COLUMBUS OH
43210-1239
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-292-8881
  • Fax: 614-292-5849
Mailing address:
  • Phone: 614-292-8881
  • Fax: 614-292-5849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZN0500X
TaxonomyNeuropathology Physician
License Number35.143058
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License Number35.143058
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207ZC0006X
TaxonomyClinical Pathology Physician
License Number35.143058
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: