Healthcare Provider Details

I. General information

NPI: 1730566597
Provider Name (Legal Business Name): MUSA YILANLI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2015
Last Update Date: 04/16/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 BUTTERFLY GARDENS DR
COLUMBUS OH
43215-3427
US

IV. Provider business mailing address

700 CHILDRENS DR
COLUMBUS OH
43205-2639
US

V. Phone/Fax

Practice location:
  • Phone: 614-355-8080
  • Fax: 614-938-0170
Mailing address:
  • Phone: 614-722-9371
  • Fax: 614-722-2619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number35.139310
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: