MEDICARE: KATIE LYNN ADIB 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	207RP1001X	Pulmonary Disease Physician	35.141727	OH
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	35.141727	OH

General Provider Information

NPI Number	:	1306308184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE LYNN ADIB MD

Provider Business Mailing Address
First Line	:	700 ACKERMAN RD STE 2120
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1559
Country	:	US
Telephone Number	:	614-293-4925
Fax Number	:	614-293-5503

Provider Business Practice Location Address
First Line	:	2050 KENNY RD STE 2200
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43221-3502
Country	:	US
Telephone Number	:	614-293-4925
Fax Number	:	614-293-5503

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

Provider Enumeration Date	:	04/02/2019
Last Update Date	:	06/18/2026

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