Healthcare Provider Details

I. General information

NPI: 1366752149
Provider Name (Legal Business Name): COLUMBUS ENDOCRINE CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2010
Last Update Date: 02/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6790 PERIMETER DR SUITE 200
DUBLIN OH
43016-8050
US

IV. Provider business mailing address

6790 PERIMETER DR SUITE 200
DUBLIN OH
43016-8050
US

V. Phone/Fax

Practice location:
  • Phone: 614-602-4600
  • Fax: 614-602-4601
Mailing address:
  • Phone: 614-602-4600
  • Fax: 614-602-4601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number35.087435
License Number StateOH

VIII. Authorized Official

Name: TARANG SHARMA
Title or Position: OWNER
Credential: MD
Phone: 614-602-4600