Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 35137002 | OH |
NPI | 1154564961 |
---|---|
Provider Name | Samilia Obeng-Gyasi |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43212-3117 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2009 |
Last Update Date | 08/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0375701 | (05) | OH |