Healthcare Provider Details

I. General information

NPI: 1184208456
Provider Name (Legal Business Name): OSAID H K ALSER MD, MSC (OXON)
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2021
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 OLENTANGY RIVER RD STE 2140
COLUMBUS OH
43212-3153
US

IV. Provider business mailing address

915 OLENTANGY RIVER RD STE 2140
COLUMBUS OH
43212-3153
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-9030
  • Fax:
Mailing address:
  • Phone: 614-293-9030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number35.154353
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: