Healthcare Provider Details

I. General information

NPI: 1932987153
Provider Name (Legal Business Name): POOJA A PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2023
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 N BRICE RD STE 300
COLUMBUS OH
43213-6519
US

IV. Provider business mailing address

99 N BRICE RD STE 300
COLUMBUS OH
43213-6519
US

V. Phone/Fax

Practice location:
  • Phone: 614-866-8200
  • Fax:
Mailing address:
  • Phone: 614-866-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: