Healthcare Provider Details

I. General information

NPI: 1477743888
Provider Name (Legal Business Name): AMINA SMAJLOVIC MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMINA DILBEROVIC MD

II. Dates (important events)

Enumeration Date: 08/01/2007
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4766 W BROAD ST
COLUMBUS OH
43228-1613
US

IV. Provider business mailing address

700 CHILDRENS DR
COLUMBUS OH
43205-2664
US

V. Phone/Fax

Practice location:
  • Phone: 614-722-6200
  • Fax:
Mailing address:
  • Phone: 614-722-6200
  • Fax: 614-722-5176

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35131409
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: