Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 35097030 | OH |
NPI | 1508006859 |
---|---|
Provider Name | Anila Shyam Jajodia |
First Address | Columbus, OH 43214-3937 |
Second Address | Columbus, OH 43214-3937 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2009 |
Last Update Date | 08/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0077745 | (05) | OH |