Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 35003514 | OH |
NPI | 1093923138 |
---|---|
Provider Name | Said Atway |
First Address | Columbus, OH 43202-1559 |
Second Address | Gahanna, OH 43230-1757 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 25/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2978425 | (05) | OH |