Healthcare Provider Details

I. General information

NPI: 1114860640
Provider Name (Legal Business Name): EDUARDO PATRICK BELTRAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7949 CORSHAM CT
DUBLIN OH
43016-8671
US

IV. Provider business mailing address

7949 CORSHAM CT
DUBLIN OH
43016-8671
US

V. Phone/Fax

Practice location:
  • Phone: 614-717-5916
  • Fax:
Mailing address:
  • Phone: 614-717-5916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: