Healthcare Provider Details

I. General information

NPI: 1396619391
Provider Name (Legal Business Name): SMADZ MEDICAL CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2025
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5031 FOREST DR STE B
NEW ALBANY OH
43054-7088
US

IV. Provider business mailing address

7379 MILTON CT
NEW ALBANY OH
43054-9038
US

V. Phone/Fax

Practice location:
  • Phone: 380-213-6923
  • Fax:
Mailing address:
  • Phone: 614-558-3575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: FARHANA HASAN
Title or Position: OWNER PHYSICIAN
Credential: MD
Phone: 614-558-3575