Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35.094610 | OH |
Y | 2080P0208X | Pediatric Infectious Diseases | 35.094610 | OH |
NPI | 1255586202 |
---|---|
Provider Name | Maria Asuncion Mejias |
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 | 18/11/2008 |
Last Update Date | 20/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3009210 | (05) | OH |
4300331 | CGS-MEDICARE (01) | OH |