Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 34.013128 | OH |
NPI | 1568738557 |
---|---|
Provider Name | Katherine Susan Dodd |
First Address | Dublin, OH 43017-0727 |
Second Address | Columbus, OH 43214-3937 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2012 |
Last Update Date | 31/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
411808501 | (05) | TX |
411808502 | CSHCN (01) | TX |