| Osu Neuro-psychiatric Physician | |
|
1670 Upham Dr Columbus OH 43210-1250 | |
| (614) 293-9600 | |
| (614) 293-6059 |
| Full Name | Osu Neuro-psychiatric Physician |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1670 Upham Dr, Columbus, Ohio |
| Authorized Official Name and Position | Anne Smith (DIRECTOR, CORPORATE CREDENTIALING) |
| Authorized Official Contact | 6142937444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Osu Neuro-psychiatric Physician 1670 Upham Dr Columbus OH 43210-1250 Ph: (614) 293-3600 | Osu Neuro-psychiatric Physician 1670 Upham Dr Columbus OH 43210-1250 Ph: (614) 293-9600 |
| NPI Number | 1689631780 |
|---|---|
| Provider Enumeration Date | 05/01/2006 |
| Last Update Date | 08/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689631780 | NPI | - | NPPES |
| 2102325 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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