Healthcare Provider Details

I. General information

NPI: 1154266393
Provider Name (Legal Business Name): DENIZ BISLIMI-COBAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 W 10TH AVE
COLUMBUS OH
43210-1328
US

IV. Provider business mailing address

739 TYSENS LN
STATEN ISLAND NY
10306-5621
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-5000
  • Fax:
Mailing address:
  • Phone: 646-283-6545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: