Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 35-122994 | OH |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 35.122994 | OH |
NPI | 1306132402 |
---|---|
Provider Name | Fiza Warsi |
First Address | Milford, OH 45150-2770 |
Second Address | Loveland, OH 45140-9588 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2011 |
Last Update Date | 07/07/2020 |