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NPI Code Detail

MEDICARE: COLUMBUS REGIONAL HEALTH PHYSICIANS, LLC

MEDICARE: COLUMBUS REGIONAL HEALTH PHYSICIANS, LLC
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
1207RP1001XPulmonary Disease Physician
22081S0010XSports Medicine (Physical Medicine & Rehabilitation) Physician
3207Q00000XFamily Medicine Physician
4207RH0003XHematology & Oncology Physician
52085R0001XRadiation Oncology Physician
62081N0008XNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
72084P0800XPsychiatry Physician
8207Y00000XOtolaryngology Physician
9207RN0300XNephrology Physician
10207RC0200XCritical Care Medicine (Internal Medicine) Physician
11208M00000XHospitalist Physician
12208000000XPediatrics Physician
13363LA2100XAcute Care Nurse Practitioner
142086S0102XSurgical Critical Care Physician
15207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1336510098
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBUS REGIONAL HEALTH PHYSICIANS, LLC
Provider Business Mailing Address
First Line : PO BOX 775383
Second Line :
City : CHICAGO
State : IL
Zip : 60677-5383
Country : US
Telephone Number : 812-375-3000
Fax Number : 812-375-3477
Provider Business Practice Location Address
First Line : 2400 17TH ST
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-5351
Country : US
Telephone Number : 812-373-3025
Fax Number :
Authorized Official
Title or Position : VP REVENUE
Name : HEATHER HUBBARD
Credential :
Telephone Number : 812-376-5011
Provider Enumeration Date : 10/07/2015
Last Update Date : 04/24/2026

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1164477097 — NADEEM IKHLAQUE MD
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