Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD434249 | PA |
Y | 207RC0000X | Internist - Cardiovascular Disease | 35.138337 | OH |
N | 207RC0000X | Internist - Cardiovascular Disease | MD434249 | PA |
NPI | 1366497430 |
---|---|
Provider Name | Raymond L. Benza |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43210-1240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 17/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000085242 | (05) | AL |
1021447640001 | (05) | PA |
2841518 | (05) | OH |
3810012859 | (05) | WV |
F35755 | (02) |