Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 35.141512 | OH |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 35.141512 | OH |
NPI | 1831583988 |
---|---|
Provider Name | Allen Adib Kadado |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2015 |
Last Update Date | 31/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0443307 | (05) | OH |
H807340 | CGS-MEDICARE (01) | OH |