SearchOhioExclusive Provider Organization

Bashir Awl, 0615

NPI 1902346463 · on the registry since 2017 · sole proprietor

Practice

Address
4130 Adalric Dr
Columbus, OH 43219
Phone
(614) 749-9782

Registry record

Primary taxonomy
Exclusive Provider Organization
302F00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-03-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio