MEDICARE: SHELDON EDWARDS MD

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	207R00000X	Internal Medicine Physician	35.149483	OH

General Provider Information

NPI Number	:	1124557707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELDON EDWARDS MD

Provider Business Mailing Address
First Line	:	4825 KNIGHTSBRIDGE BLVD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-4325
Country	:	US
Telephone Number	:	614-451-9612
Fax Number	:	614-451-2009

Provider Business Practice Location Address
First Line	:	4825 KNIGHTSBRIDGE BLVD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-4325
Country	:	US
Telephone Number	:	614-451-9612
Fax Number	:	614-451-2009

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

Provider Enumeration Date	:	06/07/2017
Last Update Date	:	05/23/2024

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