Eastland Family Health | |
393 E Town St Ste 228 Columbus OH 43215-4741 | |
(614) 418-7771 | |
(614) 241-5595 |
Full Name | Eastland Family Health |
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Speciality | Preventive Medicine |
Location | 393 E Town St Ste 228, Columbus, Ohio |
Authorized Official Name and Position | Mwawaza Mfikiri Sanyika (OWNER/PHYSICIAN) |
Authorized Official Contact | 6144187771 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eastland Family Health 393 E Town St Ste 228 Columbus OH 43215-4741 Ph: (614) 418-7771 | Eastland Family Health 393 E Town St Ste 228 Columbus OH 43215-4741 Ph: (614) 418-7771 |
NPI Number | 1720185093 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 10/09/2023 |
Certification Date | 10/09/2023 |
Medicare PECOS PAC ID | 6204834807 |
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Medicare Enrollment ID | O20061115000000 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720185093 | NPI | - | NPPES |
Provider Name | Mwawaza M Sanyika |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740386143 PECOS PAC ID: 3870496904 Enrollment ID: I20040128000282 |
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