| NPI | 1912337239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIVIK SHAH Owner 614-322-2500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0803AS) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |