MEDICARE: ANASTESIA EZEDANI

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	103TH0100X	Health Service Psychologist

General Provider Information

NPI Number	:	1346191905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANASTESIA EZEDANI

Provider Business Mailing Address
First Line	:	284 BARKLEY PL E
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-4023
Country	:	US
Telephone Number	:	614-271-5710
Fax Number	:

Provider Business Practice Location Address
First Line	:	4040 E BROAD ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-1156
Country	:	US
Telephone Number	:	909-970-4893
Fax Number	:

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

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

Similar Medicare Providers

1639029143 — MORGAN SWANK RN
Practice Location Address:

4040 E BROAD ST
COLUMBUS, OH
43213-1156

Practice Phone: 844-297-3995
Practice Fax:

1659522233 — PRECISION PHARMACY,INC.
Practice Location Address:

4040 E BROAD ST
COLUMBUS, OH
43213-1156

Practice Phone: 614-806-1807
Practice Fax:

1700024866 — IDEAL MEDICAL SUPPLY INC
Practice Location Address:

4040 E BROAD ST , SUITE 105
COLUMBUS, OH
43213-1156

Practice Phone: 614-231-8877
Practice Fax:

1922323401 — JULIE MCCOY GREENFIELD R.PH.
Practice Location Address:

4040 E BROAD ST , STE 105
COLUMBUS, OH
43213-1156

Practice Phone: 614-231-8877
Practice Fax: 614-231-8865

1518287796 — IDEAL ADULT DAYCARE INC
Practice Location Address:

4040 E BROAD ST , SUITE 125
COLUMBUS, OH
43213-1156

Practice Phone: 614-483-2441
Practice Fax:

1346547577 — COLUMBIA HOME HEALTH CARE INC.
Practice Location Address:

4040 E BROAD ST STE 203
COLUMBUS, OH
43213-1156

Practice Phone: 614-778-1608
Practice Fax:

Directions to “ ANASTESIA EZEDANI ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.