| Mazen Eldadah, M.d., Inc | |
|
393 E Town St Suite 118 Columbus OH 43215-4741 | |
| (614) 228-9900 | |
| Not Available |
| Full Name | Mazen Eldadah, M.d., Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 393 E Town St, Columbus, Ohio |
| Authorized Official Name and Position | Mazen K Eldadah (PRESIDENT) |
| Authorized Official Contact | 6142289900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mazen Eldadah, M.d., Inc # L-2430 Po Box 600001 Columbus OH 43260-0001 Ph: (614) 451-8770 | Mazen Eldadah, M.d., Inc 393 E Town St Suite 118 Columbus OH 43215-4741 Ph: (614) 228-9900 |
| NPI Number | 1356446371 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 06/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356446371 | NPI | - | NPPES |
| 0173753 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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