Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 3735 | OH |
NPI | 1437236049 |
---|---|
Provider Name | Dr. Ajay P Syam |
First Address | Columbus, OH 43207-1045 |
Second Address | Columbus, OH 43207-1045 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 08/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2777446 | (05) | OH |