Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 35082961 | OH |
N | 208600000X | Surgeon | 35082961 | OH |
Y | 2086S0120X | Pediatric Surgery | 35082961 | OH |
NPI | 1497705859 |
---|---|
Provider Name | Dr. Renata Fabia |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 28/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2435234 | (05) | OH |
H94410 | (02) |