| Infectious Disease Consultants, Inc. | |
|
685 Bryden Rd Columbus OH 43205-5004 | |
| (614) 461-3214 | |
| (614) 621-4300 |
| Full Name | Infectious Disease Consultants, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 685 Bryden Rd, Columbus, Ohio |
| Authorized Official Name and Position | Rodney K Kusumi (OWNER) |
| Authorized Official Contact | 6144613214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Consultants, Inc. 685 Bryden Rd Columbus OH 43205-5004 Ph: (614) 461-3214 | Infectious Disease Consultants, Inc. 685 Bryden Rd Columbus OH 43205-5004 Ph: (614) 461-3214 |
| NPI Number | 1982739280 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9537130448 |
|---|---|
| Medicare Enrollment ID | O20040804000655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982739280 | NPI | - | NPPES |
| 0746732 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Rodney Kent Kusumi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346276755 PECOS PAC ID: 2264403179 Enrollment ID: I20101203000850 |
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