Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 35.139021 | OH |
NPI | 1083238000 |
---|---|
Provider Name | Dr. Ziyad A Makoshi |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2639 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2020 |
Last Update Date | 19/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0438198 | (05) | OH |
H740880 | CGS - MEDICARE (01) | OH |