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General NPI Number Information
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NPI Number | 1568843191
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Entity Type | Individual
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Provider Name | BASIL MICHAEL KAHWASH M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2015
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 477 COOPER RD STE 480
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City | WESTERVILLE
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State | OH
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Zip | 43081-8095
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Country | US
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Telephone | 614-823-7135
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Fax | 614-823-7137
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Provider Business Mailing Address
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Address Line | 1810 MACKENZIE DR
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City | COLUMBUS
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State | OH
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Zip | 43220-2967
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Country | US
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Telephone | 614-273-2250
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Fax | 614-273-2255
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 60751
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 60751
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 35.137143
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License Number State | OH
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