Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 35.0960033 | OH |
N | 207Q00000X | Family Doctor | 5651 | NE |
NPI | 1003013004 |
---|---|
Provider Name | Dr. Asma Basem Dajani |
First Address | Westerville, OH 43086-3389 |
Second Address | Westerville, OH 43082-8349 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2007 |
Last Update Date | 22/08/2019 |