MEDICARE: DARYL D KASWINKEL 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	207W00000X	Ophthalmology Physician	35088802	OH
2	170100000X	Ph.D. Medical Genetics	0000025926	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831159110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARYL D KASWINKEL MD

Provider Business Mailing Address
First Line	:	50 MCNAUGHTEN RD
Second Line	:	STE 200
City	:	COLUMBUS
State	:	OH
Zip	:	43213-2120
Country	:	US
Telephone Number	:	614-863-3937
Fax Number	:	614-863-5010

Provider Business Practice Location Address
First Line	:	50 MCNAUGHTEN RD
Second Line	:	STE 200
City	:	COLUMBUS
State	:	OH
Zip	:	43213-2120
Country	:	US
Telephone Number	:	614-863-3937
Fax Number	:	614-863-5010

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

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	02/16/2022

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