MEDICARE: ROSEMOND GYASIWAA GYIMAH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1063273050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSEMOND GYASIWAA GYIMAH

Provider Business Mailing Address
First Line	:	12931 BENTWOOD FARMS DR
Second Line	:
City	:	PICKERINGTON
State	:	OH
Zip	:	43147-8133
Country	:	US
Telephone Number	:	161-489-7680
Fax Number	:

Provider Business Practice Location Address
First Line	:	2296 LAURELWOOD DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-9601
Country	:	US
Telephone Number	:	220-216-5857
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2024
Last Update Date	:	01/17/2024

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