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General NPI Number Information
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NPI Number | 1982818381
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Entity Type | Organization
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Legal Business Name | MID-OHIO MEDICAL SPECIALISTS, INC.
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 949 E LIVINGSTON AVE
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City | COLUMBUS
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State | OH
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Zip | 43205-2748
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Country | US
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Telephone | 614-445-7209
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Fax | 614-656-7068
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Provider Business Mailing Address
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Address Line | 949 E LIVINGSTON AVE
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City | COLUMBUS
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State | OH
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Zip | 43205-2748
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Country | US
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Telephone | 614-445-7209
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Fax | 937-599-7035
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MRS. NAYYAR FATIMA SHAREEF
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Credential | MD
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Telephone | 614-445-7209
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35067934
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 35047929
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 35047929
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35047929
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License Number State | OH
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