Healthcare Provider Details
I. General information
NPI: 1508157827
Provider Name (Legal Business Name): COLUMBUS PAIN & SLEEP CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/20/2011
Last Update Date: 04/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
387 COUNTY LINE RD W SUITE 225
WESTERVILLE OH
43082-6080
US
IV. Provider business mailing address
387 COUNTY LINE RD W SUITE 225
WESTERVILLE OH
43082-6080
US
V. Phone/Fax
- Phone: 614-776-5541
- Fax:
- Phone: 614-776-5541
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084S0012X |
| Taxonomy | Sleep Medicine (Psychiatry & Neurology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AHMED
S.
RASHWAN
Title or Position: MD/OWNER
Credential: MD
Phone: 614-776-5541