Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35.143180 | OH |
Y | 2080P0208X | Pediatric Infectious Diseases | 35.143180 | OH |
NPI | 1164880753 |
---|---|
Provider Name | Katia Camille Halabi |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2016 |
Last Update Date | 21/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0456133 | (05) | OH |
H855060 | CGS-MEDICARE (01) | OH |