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General NPI Number Information
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NPI Number | 1710341490
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Entity Type | Individual
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Provider Name | ANN-KATHRIN EISFELD M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/08/2016
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 460 W 10TH AVE
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City | COLUMBUS
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State | OH
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Zip | 43210-1240
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Country | US
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Telephone | 614-293-3196
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Fax | 614-293-7526
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD STE 2120
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 614-293-3196
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Fax | 614-293-4812
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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 | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | 35.134627
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License Number State | OH
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Proprietary Identifiers Ever Reported
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Identifier #1
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Identifier Code | 0407943
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Identifier Type | MEDICAID
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Identifier State | OH
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Identifier Issuer |
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