Healthcare Provider Details

I. General information

NPI: 1912824962
Provider Name (Legal Business Name): VERON FONGEH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6814 GAFFORD DR
COLUMBUS OH
43229-1207
US

IV. Provider business mailing address

6814 GAFFORD DR
COLUMBUS OH
43229-1207
US

V. Phone/Fax

Practice location:
  • Phone: 614-599-5987
  • Fax:
Mailing address:
  • Phone: 614-599-5987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberVB208298
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: